Organization Active NPI

Damien Cares Inc.

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1649650235
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
DAMIEN CARES INC.
Practice address
26 N Arsenal Ave
Indianapolis, IN 46201-3808
Phone
(317) 632-0123
Fax
(317) 632-4362
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Joshua Bundy
Title
Clinic Project Specialist
Phone
(317) 632-0123

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 71003339A IN
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

26 N Arsenal Ave
Indianapolis, IN 46201-3808

Mailing address

26 N Arsenal Ave
Indianapolis, IN 46201-3808
Phone (317) 632-0123

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1649650235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N ARSENAL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013808",
            "telephone_number": "317-632-0123",
            "fax_number": "317-423-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N ARSENAL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013808",
            "telephone_number": "317-632-0123",
            "fax_number": "317-632-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIEN CARES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CLINIC PROJECT SPECIALIST",
        "authorized_official_telephone_number": "317-632-0123"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003339A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "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 Feb 4, 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.