NPIMap

Organization Active NPI

The Kaptain Care Corporation

Doing business as The EDS Clinic

  • Clinic/Center
  • Indianpolis, IN
National Provider Identifier
1467210864
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE KAPTAIN CARE CORPORATION
Doing business as
The EDS Clinic
Practice address
8520 Allison Pointe Blvd
Ste 223 #52506
Indianpolis, IN 46250
Phone
(650) 336-0650
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Harris
Title
President
Phone
(650) 336-0650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

8520 Allison Pointe Blvd
Ste 223 #52506
Indianpolis, IN 46250

Mailing address

8520 Allison Pointe Blvd
Ste 223 #52506
Indianpolis, IN 46250
Phone (650) 336-0650

Other names 1

  • The EDS Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1467210864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 ALLISON POINTE BLVD",
            "address_2": "STE 223 #52506",
            "city": "INDIANPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "650-336-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 ALLISON POINTE BLVD",
            "address_2": "STE 223 #52506",
            "city": "INDIANPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "650-336-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KAPTAIN CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-336-0650"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The EDS Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianpolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.