Organization Active NPI

Daniel R Whipple MD PC

  • Durable Medical Equipment & Medical Supplies
  • Avon, IN
National Provider Identifier
1619146719
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01039952 Issued in IN
Legal business name
DANIEL R WHIPPLE MD PC
Practice address
8244 E US Highway 36 Ste 200
Avon, IN 46123-9621
Phone
(317) 272-2020
Fax
(317) 272-6544
NPI assigned
Feb 22, 2008
Organization subpart
Yes
Parent organization
DANIEL R WHIPPLE MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Daniel R. Whipple, MD
Title
Owner/President
Phone
(317) 272-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01039952 IN Primary

Addresses

Primary practice location

8244 E US Highway 36 Ste 200
Avon, IN 46123-9621

Mailing address

8244 E US Highway 36 Ste 200
Avon, IN 46123-9621
Phone (317) 272-2020

Other identifiers 1

IdentifierTypeStateIssuer
DG6130OtherMEDICARE RETIRED RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930065457 IN DME Supplier - Physician - OptometristDME Supplier - Optician 5496892051 Practice locations: Avon, IN

National Provider Directory

National Provider Directory
Part of
Daniel R Whipple MD PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1619146719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8244 E US HIGHWAY 36 STE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239621",
            "telephone_number": "317-272-2020",
            "fax_number": "317-272-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 E US HIGHWAY 36 STE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239621",
            "telephone_number": "317-272-2020",
            "fax_number": "317-272-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R WHIPPLE MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL R WHIPPLE MD PC",
        "enumeration_date": "2008-02-22",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-272-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "01039952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RETIRED RAILROAD",
            "identifier": "DG6130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.