Active NPI
Dexter Crouch
- Homemaker
- Fishers, IN
National Provider Identifier
1972240976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 22-015538-1
- Practice address
- 14872 Bellamy CT
Fishers, IN 46037-5545 - Phone
- (317) 954-8417
- NPI assigned
- May 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 22-015538-1 | IN | Primary |
Addresses
Primary practice location
14872 Bellamy CT
Fishers, IN 46037-5545
Mailing address
14872 Bellamy CT
Fishers, IN 46037-5545
Phone (317) 954-8417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-015538-1 | Other | IN | PERSONAL SERVICE AGENCY LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-015538-1 | IN | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1972240976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14872 BELLAMY CT",
"city": "FISHERS",
"state": "IN",
"postal_code": "460375545",
"telephone_number": "317-954-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14872 BELLAMY CT",
"city": "FISHERS",
"state": "IN",
"postal_code": "460375545",
"telephone_number": "317-954-8417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "DEXTER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IN",
"license": "22-015538-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL SERVICE AGENCY LICENSE",
"identifier": "22-015538-1",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.