Individual provider Active NPI

Eric Adolph, M.D.

  • Urgent Care Clinic/Center
  • Noblesville, IN
National Provider Identifier
1720320765
Registry record updated Mar 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
01046451A Issued in IN
Practice address
108 Dundee CT
Noblesville, IN 46060-5436
Phone
(317) 501-1412
Fax
(317) 770-1641
NPI assigned
Mar 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 01046451A IN Primary

Addresses

Primary practice location

108 Dundee CT
Noblesville, IN 46060-5436

Mailing address

108 Dundee CT
Noblesville, IN 46060-5436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01046451AINMDUrgent Care Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1363392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363392000000",
    "number": "1720320765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DUNDEE CT",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DUNDEE CT",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605436",
            "telephone_number": "317-501-1412",
            "fax_number": "317-770-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLPH",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-16",
        "last_updated": "2013-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IN",
            "license": "01046451A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2013; 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.