North Indy Pain Solutions LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH INDY PAIN SOLUTIONS LLC

Practice address

4715 Statesmen Dr
Indianapolis, IN 46250-5642

Phone

(480) 930-4018

NPI assigned

Aug 2, 2018

Last updated

Aug 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Buckner, DC

Title

Owner

Phone

(480) 930-4018

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1649758590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 STATESMEN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 STATESMEN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505642",
            "telephone_number": "480-930-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH INDY PAIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-930-4018",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J Norris, PHD
• Shaunna Norris, LCSW
• Steven A Norris, MD
• Taylor Norris, M.A CCC-SLP
• North Campus Surgery Center LLC (Community Surgery Center North)
• North Indy Surgical LLC
• North Meridian Psychiatric Associates
• North Meridian Psychiatric Associates, Inc.
• North Meridian Surgicenter & Associates, LLC (North Meridian Spine Center)
• Jennifer Morgan North, MD

• Ambulatory Surgical Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.