Active NPI
Daniel R Whipple MD PC
- Durable Medical Equipment & Medical Supplies
- Avon, IN
National Provider Identifier
1619146719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01039952
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG6130 | Other | MEDICARE RETIRED RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930065457 | IN | DME Supplier - Physician - Optometrist | 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.
-
- Ophthalmology Physician
- Avon, IN
- NPI 1194906909
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.