Organization Active NPI

Dependency Medical Holdings Corporation

  • Addiction Medicine (Family Medicine) Physician
  • Indianapolis, IN
National Provider Identifier
1659841880
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
DEPENDENCY MEDICAL HOLDINGS CORPORATION
Practice address
5600 W Bradbury Ave
Indianapolis, IN 46241
Phone
(317) 562-0500
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Diane M. Stone
Title
Ao
Phone
(317) 966-3990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

5600 W Bradbury Ave
Indianapolis, IN 46241

Mailing address

1515 N Post Rd
Indianapolis, IN 46219-4213

Other practice location 1

1515 N Post Rd Ste C
Indianapolis, IN 46219-4213
Phone (317) 405-8833

Other practice location 2

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7740

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1659841880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N POST RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W BRADBURY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46241",
            "telephone_number": "317-562-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 N Post Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462194213",
            "country_code": "US",
            "telephone_number": "317-405-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6950 Hillsdale Ct",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46250",
            "country_code": "US",
            "telephone_number": "317-621-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEPENDENCY MEDICAL HOLDINGS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "317-966-3990"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "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 Oct 16, 2019; 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.