Active NPI
Dependency Medical Holdings Corporation
- Addiction Medicine (Family Medicine) Physician
- Indianapolis, IN
National Provider Identifier
1659841880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Indianapolis, IN
- NPI 1265074694
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.