Individual provider Active NPI

John Douglas Twenty, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1902946817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
01024985 Issued in IN
Practice address
Dc2111 Lilly Corporate Ctr
Indianapolis, IN 46285-0001
Phone
(317) 276-7586
Fax
(317) 276-1733
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 01024985 IN Primary

Addresses

Primary practice location

Dc2111 Lilly Corporate Ctr
Indianapolis, IN 46285-0001

Mailing address

Dc2111 Lilly Corporate Ctr
Indianapolis, IN 46285-0001
Phone (317) 276-7586

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
01024985INMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902946817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DC2111 LILLY CORPORATE CTR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462850001",
            "telephone_number": "317-276-7586",
            "fax_number": "317-276-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DC2111 LILLY CORPORATE CTR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462850001",
            "telephone_number": "317-276-7586",
            "fax_number": "317-276-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWENTY",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IN",
            "license": "01024985",
            "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 Jul 8, 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.