Active NPI
Advanced Pain Management of Elwood
- Multi-Specialty Clinic/Center
- Elwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ADVANCED PAIN MANAGEMENT OF ELWOOD
- Practice address
- 7408 W State Road 28
Elwood, IN 46036-8600 - Phone
- (765) 557-8569
- Fax
- (765) 557-8635
- NPI assigned
- Nov 25, 2019
- Last updated
- Jul 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Dunham, NP, DPT, DC
- Title
- Owner
- Phone
- (765) 557-8569
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Physical Therapist | 225100000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
7408 W State Road 28
Elwood, IN 46036-8600
Mailing address
7408 W State Road 28
Elwood, IN 46036-8600
Phone (765) 557-8569
Other practice location 1
2976 N Scatterfield Rd Ste 111
Anderson, IN 46012-1586
Phone (765) 557-8569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2055704 | Advanced Pain Management of Elwood | Compliance | Mar 21, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1184719338
Physical Therapist
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1720004682
-
- Family Nurse Practitioner
- Carmel, IN
- NPI 1790442655
-
- Chiropractor
- Anderson, IN
- NPI 1396814661
-
- Family Nurse Practitioner
- Carmel, IN
- NPI 1255971586
-
- Chiropractor
- Indianapolis, IN
- NPI 1265575021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1982240917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7408 W STATE ROAD 28",
"city": "ELWOOD",
"state": "IN",
"postal_code": "460368600",
"telephone_number": "765-557-8569",
"fax_number": "765-557-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7408 W STATE ROAD 28",
"city": "ELWOOD",
"state": "IN",
"postal_code": "460368600",
"telephone_number": "765-557-8569",
"fax_number": "765-557-8635"
}
],
"practiceLocations": [
{
"address_1": "2976 N Scatterfield Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460121586",
"country_code": "US",
"telephone_number": "765-557-8569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED PAIN MANAGEMENT OF ELWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "DUNHAM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-557-8569",
"authorized_official_credential": "NP, DPT, DC"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.