Thrive Human Optimization LLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

THRIVE HUMAN OPTIMIZATION LLC

Practice address

9525 North Meridian Street
Indianapolis, IN 46260

Phone

(765) 602-1995

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Hogan Crenshaw, PA-C

Title

Director of Operations

Phone

(765) 602-1995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1538915681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 NORTH MERIDIAN STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 NORTH MERIDIAN STREET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "765-602-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE HUMAN OPTIMIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "HOGAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "765-602-1995",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Integrative Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.