Organization Active NPI

Jeffrey N de Wester Treatment and Research Center, LLC

  • Adult Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1700393741
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
01036126A Issued in IN
Legal business name
JEFFREY N DE WESTER TREATMENT AND RESEARCH CENTER, LLC
Practice address
6447 S East St Ste C
Indianapolis, IN 46227-2119
Phone
(317) 735-1851
Fax
(317) 735-1951
NPI assigned
Dec 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Natalie Rae Bement
Title
Executive Assistant
Phone
(317) 735-1851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 01036126A IN Primary

Addresses

Primary practice location

6447 S East St Ste C
Indianapolis, IN 46227-2119

Mailing address

6447 S East St Ste C
Indianapolis, IN 46227-2119
Phone (317) 735-1851

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1700393741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 S EAST ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272119",
            "telephone_number": "317-735-1851",
            "fax_number": "317-735-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 S EAST ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272119",
            "telephone_number": "317-735-1851",
            "fax_number": "317-735-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY N DE WESTER TREATMENT AND RESEARCH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "BEMENT",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "317-735-1851"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IN",
            "license": "01036126A",
            "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 Dec 29, 2017; 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.