NPIMap

Organization Active NPI

Davis and Davis Dietary LLC

  • Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1609482041
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DAVIS AND DAVIS DIETARY LLC
Practice address
4946 Lewiston Dr
Indianapolis, IN 46254-7101
Phone
(765) 729-3735
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Aaron Michael Davis, RDNNPI 1033683263
Title
Ceo
Phone
(765) 729-3735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4946 Lewiston Dr
Indianapolis, IN 46254-7101

Mailing address

4946 Lewiston Dr
Indianapolis, IN 46254-7101

Other names 1

  • none Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL davisanddavis.dietary@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1609482041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 LEWISTON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462547101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 LEWISTON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462547101",
            "telephone_number": "765-729-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS AND DAVIS DIETARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-729-3735",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "davisanddavis.dietary@gmail.com",
            "affiliation": "N",
            "address_1": "4946 Lewiston Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462547101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "none",
            "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 Sep 21, 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.