Organization Active NPI

American Health Network of Indiana, LLC

  • Non-Pharmacy Dispensing Site
  • Indianapolis, IN
National Provider Identifier
1629175021
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Practice address
8301 Harcourt Rd Ste 205
Indianapolis, IN 46260-2082
Phone
(317) 228-3393
NPI assigned
Sep 20, 2006
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN HEALTH NETWORK OF INDIANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Mark Benson, DO
Title
Interim Ceo/Medical Director
Phone
(317) 580-6304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

8301 Harcourt Rd Ste 205
Indianapolis, IN 46260-2082

Mailing address

1111 Ronald Reagan Pkwy Ste B1500
Avon, IN 46123-7085
Phone (317) 217-2244

Other practice location 1

1111 Ronald Reagan Pkwy Ste B1500
Avon, IN 46123-7085
Phone (317) 217-2244

National Provider Directory

National Provider Directory
Part of
American Health Network of Indiana LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1111 Ronald Reagan Pkwy
Ste B1600
Avon, IN 46123
Phone (317) 217-3805

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1629175021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RONALD REAGAN PKWY STE B1500",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237085",
            "telephone_number": "317-217-2244",
            "fax_number": "317-217-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 HARCOURT RD STE 205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602082",
            "telephone_number": "317-228-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Ronald Reagan Pkwy Ste B1500",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461237085",
            "country_code": "US",
            "telephone_number": "317-217-2244",
            "fax_number": "317-217-2249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN HEALTH NETWORK OF INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH NETWORK OF INDIANA, LLC",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "INTERIM CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "317-580-6304",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 2, 2021; 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.