Imagine Master Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IMAGINE MASTER ACADEMY

Practice address

2000 N Wells St
Building 6
Fort Wayne, IN 46808-2495

Phone

(260) 420-8395

Fax

(260) 423-3508

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 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

Mr. Guy Platter

Title

Principal

Phone

(260) 420-8395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1922295252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N WELLS ST",
            "address_2": "BUILDING 6",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468082495",
            "telephone_number": "260-420-8395",
            "fax_number": "260-423-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N WELLS ST",
            "address_2": "BUILDING 6",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468082495",
            "telephone_number": "260-420-8395",
            "fax_number": "260-423-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE MASTER ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "PLATTER",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "260-420-8395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Local Education Agency (LEA) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.