Organization Active NPI

Spiceland Pike Medical Center PC

  • Urgent Care Clinic/Center
  • New Castle, IN
National Provider Identifier
1861692246
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
01041007 Issued in IN
Legal business name
SPICELAND PIKE MEDICAL CENTER PC
Practice address
1685 S Spiceland Rd
New Castle, IN 47362-8954
Phone
(765) 529-4090
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Keith Dinklage
Title
President
Phone
(765) 529-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 01041007 IN Primary

Addresses

Primary practice location

1685 S Spiceland Rd
New Castle, IN 47362-8954

Mailing address

1685 S Spiceland Rd
New Castle, IN 47362-8954

Other identifiers 2

IdentifierTypeStateIssuer
200056320BMedicaidIN
000000191328OtherINBC/BS

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
15D0925802Spiceland Pike Medical Center1685 S Spiceland Pike, New Castle, IN 47362Provider-performed microscopyMar 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1861692246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 S SPICELAND RD",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473628954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 S SPICELAND RD",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473628954",
            "telephone_number": "765-529-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPICELAND PIKE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "DINKLAGE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-529-4090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IN",
            "license": "01041007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200056320B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000191328",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.