Central Indiana Pet, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTRAL INDIANA PET, LLC

Practice address

8402 Harcourt Rd
Suite 721
Indianapolis, IN 46260-2074

Phone

(317) 338-6384

Fax

(317) 338-6385

NPI assigned

Aug 13, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanna Sue Klavon

Title

Manager

Phone

(317) 338-6384

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert Howard Liebross, MD

  • Radiation Oncology Physician
  • Indianapolis, IN
  • NPI 1598850653
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1740472943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD",
            "address_2": "SUITE 721",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602074",
            "telephone_number": "317-338-6384",
            "fax_number": "317-338-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD",
            "address_2": "SUITE 721",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602074",
            "telephone_number": "317-338-6384",
            "fax_number": "317-338-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA PET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "KLAVON",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-338-6384"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Indiana Crisis Pregnancy Center
• Central Indiana Orthopedics, LLC (Central Indiana Orthopedics, LLC, DBS OrthoAlliance of Indiana)
• Central Indiana Orthopedics, LLC (OrthoAlliance of Indiana)
• Central Indiana Periodontal Associates,LLC
• Central Indiana Periodontics, PC
• Central Indiana Podiatry, PC (Achilles Podiatry)
• Central Indiana Podiatry, PC (Achilles Podiatry Group)
• Central Indiana Pulmonary Consultants, LLC
• Central Indiana Urology PC
• Central Psychological Services, LLC

• Health Service Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Health Service Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.