Individual provider Active NPI

Daniel Ndungu

  • Social Worker
  • Indianapolis, IN
National Provider Identifier
1992528525
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
99123968A Issued in IN
Practice address
11925 E 65TH St Ste 11925E65
Indianapolis, IN 46236-3178
Phone
(317) 835-3721
NPI assigned
Nov 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X IN
Social Worker 104100000X 99123968A IN Primary

Addresses

Primary practice location

11925 E 65TH St Ste 11925E65
Indianapolis, IN 46236-3178

Mailing address

9161 Coopers LN
McCordsville, IN 46055-0319
Phone (317) 835-3721

Other practice location 1

9161 Coopers Ln
McCordsville, IN 46055-0319
Phone (317) 835-3721

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

LicenseStateTypeSpecialty
99123968AINMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1992528525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9161 COOPERS LN",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460550319",
            "telephone_number": "317-835-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 E 65TH ST STE 11925E65",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462363178",
            "telephone_number": "317-835-3721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9161 Coopers Ln",
            "address_purpose": "LOCATION",
            "city": "McCordsville",
            "state": "IN",
            "postal_code": "460550319",
            "country_code": "US",
            "telephone_number": "317-835-3721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUNGU",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99123968A",
            "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 Nov 4, 2024; 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.