NPIMap

Organization Active NPI

The Damien Center Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
National Provider Identifier
1821172248
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
THE DAMIEN CENTER INC
Practice address
1420 E Washington St
Indianapolis, IN 46201-3808
Phone
(317) 632-0123
NPI assigned
Oct 24, 2006
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Joshua Bundy
Title
Director
Phone
(317) 632-0123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1420 E Washington St
Indianapolis, IN 46201-3808

Mailing address

26 N Arsenal Ave
Indianapolis, IN 46201-3808
Phone (317) 632-0123

Other practice location 1

26 N Arsenal Ave
Indianapolis, IN 46201-3808
Phone (317) 632-0123

Other names 1

  • Damien Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200608002184 IN Part B Supplier - Clinic/Group Practice 1052732666 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
Practice locations: Indianapolis, IN
O20240913000541 IN Part A Provider - Federally Qualified Health Center (FQHC) 1052732666 Practice locations: Indianapolis, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821172248. Details of each certification follow.

Federally qualified health center certification: CCN C51054

Legal name
THE DAMIEN CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 11, 2024
Last certification
Sep 11, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1420 E Washington St
Indianapolis, IN 46201-2808

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1013598Damien Center Inc1420 E Washington St, Indianapolis, IN 46201Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

1420 E Washington St
Indianapolis, IN 46201
Phone (317) 632-0123

26 N Arsenal Ave
Ste 1
Indianapolis, IN 46201

26 N Arsenal Ave
Ste B
Indianapolis, IN 46201
Phone (317) 981-1989

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Teresa Driskell Individual W-2 Managing EmployeeChief Clinical Officer Jan 8, 2024
Joshua Bundy Individual W-2 Managing EmployeeDirector May 20, 2019
Douglas Huntsinger Individual Corporate OfficerBoard Secretary Aug 7, 2024
Alan Witchey Individual Corporate Officer Aug 1, 2018
Dawnna Hixon Individual W-2 Managing EmployeeChief Financial Officer Nov 28, 2022
Bluehub Loan Fund, Inc. Organization, Roxbury, MA Corporation, Non-profit 5% Or Greater Mortgage Interest Aug 7, 2024
Low Income Investment Fund Organization, San Francisco, CA Corporation, Non-profit 5% Or Greater Mortgage Interest Aug 7, 2024
Reinvestment Fund, Inc. Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Mortgage Interest Aug 7, 2024
Jason Dudich Individual Corporate OfficerBoard President Aug 7, 2024
Esther Carter-Day Individual Corporate OfficerBoard Vice President Aug 7, 2024
Jeffrey Chapman Individual Corporate OfficerBoard Treasurer Aug 7, 2024

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1821172248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N ARSENAL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013808",
            "telephone_number": "317-632-0123",
            "fax_number": "317-632-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013808",
            "telephone_number": "317-632-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 N Arsenal Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462013808",
            "country_code": "US",
            "telephone_number": "317-632-0123",
            "fax_number": "317-632-4362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE DAMIEN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-632-0123"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Damien Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Damien Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.