NPIMap

Organization Active NPI

Central Indiana Orthopedics, LLC

Doing business as Central Indiana Orthopedics, LLC, DBS OrthoAlliance of Indiana

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1609274885
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTRAL INDIANA ORTHOPEDICS, LLC
Doing business as
Central Indiana Orthopedics, LLC, DBS OrthoAlliance of Indiana
Practice address
6920 Gatwick Dr
Ste 200
Indianapolis, IN 46241-9504
Phone
(317) 455-1064
Fax
(765) 284-4266
NPI assigned
Dec 19, 2014
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Victor P Moran
Title
Ceo
Phone
(765) 213-3864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

6920 Gatwick Dr
Ste 200
Indianapolis, IN 46241-9504

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 213-3761

Other names 1

  • Central Indiana Orthopedics, LLC, DBS OrthoAlliance of Indiana Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Indiana Orthope14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

3600 Woodview Trce
Ste 400
Indianapolis, IN 46268

6920 Gatwick Dr
Indianapolis, IN 46241
Phone (317) 856-2945

Practitioners & affiliated clinicians

Practitioners 1

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": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1609274885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "765-213-3761",
            "fax_number": "765-287-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 GATWICK DR",
            "address_2": "STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419504",
            "telephone_number": "317-455-1064",
            "fax_number": "765-284-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-213-3864"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Indiana Orthopedics, LLC, DBS OrthoAlliance of Indiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Indiana Orthopedics, LLC, DBS OrthoAlliance of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.