NPIMap

Organization Active NPI

Indy Acupuncture & Health Services, Inc.

Doing business as Indy Downtown Community Clinic

  • Acupuncturist
  • Indianapolis, IN
National Provider Identifier
1689949158
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
84000075A Issued in IN
Legal business name
INDY ACUPUNCTURE & HEALTH SERVICES, INC.
Doing business as
Indy Downtown Community Clinic
Practice address
6155 N College Ave
Indianapolis, IN 46220-1957
Phone
(317) 255-3030
Fax
(317) 255-3035
NPI assigned
Mar 17, 2012
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Miss Erica J Siegel, L.AC.NPI 1366857344
Title
Licensed Acupuncturist/ President
Phone
(317) 255-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 84000075A IN Primary
Contractor 171W00000X NU

Addresses

Primary practice location

6155 N College Ave
Indianapolis, IN 46220-1957

Mailing address

6155 N College Ave
Indianapolis, IN 46220-1957
Phone (317) 255-3030

Other identifiers 1

IdentifierTypeStateIssuer
84000075AOtherINNCCAOM

Other names 1

  • Indy Downtown Community Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

6155 N College Ave
Indianapolis, IN 46220
Phone (317) 255-3030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1689949158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 N COLLEGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201957",
            "telephone_number": "317-255-3030",
            "fax_number": "317-255-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 N COLLEGE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201957",
            "telephone_number": "317-255-3030",
            "fax_number": "317-255-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY ACUPUNCTURE & HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-17",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST/ PRESIDENT",
        "authorized_official_telephone_number": "317-255-3030",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000075A",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM",
            "identifier": "84000075A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indy Downtown Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2014; 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.