NPIMap

Organization Active NPI

Kendrick Regional Center for Colon and Rectal Care

Doing business as Kendrick Regional Center

  • Specialist
  • Mooresville, IN
National Provider Identifier
1568549012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
50003908A Issued in IN
Legal business name
KENDRICK REGIONAL CENTER FOR COLON AND RECTAL CARE
Doing business as
Kendrick Regional Center
Practice address
1215 Hadley Rd
Suite 201
Mooresville, IN 46158-2905
Phone
(317) 834-2020
Fax
(317) 831-9467
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sue Curtis
Title
Office Manager
Phone
(317) 834-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 50003908A IN Primary

Addresses

Primary practice location

1215 Hadley Rd
Suite 201
Mooresville, IN 46158-2905

Mailing address

1215 Hadley Rd
Suite 201
Mooresville, IN 46158-2905
Phone (317) 834-2020

Other names 1

  • Kendrick Regional Center Doing business as

National Provider Directory

National Provider Directory

Locations

1203 Hadley Rd
#150
Mooresville, IN 46158
Phone (317) 834-2020

1215 Hadley Rd
Mooresville, IN 46158
Phone (317) 834-2020

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568549012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582905",
            "telephone_number": "317-834-2020",
            "fax_number": "317-831-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582905",
            "telephone_number": "317-834-2020",
            "fax_number": "317-831-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRICK REGIONAL CENTER FOR COLON AND RECTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-834-5867"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "50003908A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendrick Regional Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.