DTRC, LLC (NPI# 1568881076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568881076 |
| Entity Type | Organization |
| Organization Name | DTRC, LLC |
| Practice Address |
6447 S East St Suite C Indianapolis IN 46227-2118 |
| Practice Telephone | 3178070247 |
| Practice Fax Number | 3177351951 |
| Mailing Telephone | 3178070247 |
| Mailing Fax Number | 3177351951 |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |
| Authorized Official Name | MR. JEFFREY NEAL DEWESTER (OWNER / PHYSICIAN) |
| Authorized Official Telephone | 3178070247 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
01036126A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
6447 S EAST ST SUITE C |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649244450 | Jeffrey Neal Dewester | Family Medicine | 6447 S East St, Suite C, Indianapolis, IN 46227-2118 | 2006-02-16 |
| 1023329935 | Total Sleep Services, Inc | Durable Medical Equipment & Medical Supplies | 6447 S East St, Ste C, Indianapolis, IN 46227-2118 | 2010-06-24 |
| 1548495799 | Total Sleep Diagnostics, Inc. | Clinic/Center | 6447 S East St, Ste C, Indianapolis, IN 46227-2118 | 2009-05-18 |
| 1235390089 | Trusted Life Care | Durable Medical Equipment & Medical Supplies | 6447 S East St, Ste C, Indianapolis, IN 46227-2118 | 2008-06-24 |
| 1407013980 | Total Sleep Holdings Inc | Clinic/Center | 6447 S East St, Ste C, Indianapolis, IN 46227-2118 | 2008-05-21 |
| 1245356609 | Total Sleep Holdings, Inc. | Clinical Medical Laboratory | 6447 S East St, Suite C, Indianapolis, IN 46227-2118 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366901696 | Signal Business Administration Inc | Family Medicine | 135 Jordan Rd, Indianapolis, IN 46217-4003 | 2019-03-16 |
| 1700393741 | Jeffrey N De Wester Treatment and Research Center, LLC | Family Medicine | 6447 S East St Ste C, Indianapolis, IN 46227-2119 | 2017-12-29 |
| 1568413680 | J Nathan Sherlock | Family Medicine | 1241 Central Ave, Indianapolis, IN 46202-2613 | 2006-05-13 |
| 1275511586 | Rodney J Anderson | Family Medicine | 1300 N Pennsylvania St, Suite 200, Indianapolis, IN 46202-4453 | 2006-01-06 |
| 1811407729 | Eskenazi Medical Group Inc | Family Medicine | 720 Eskenazi Avenue, Fifth Third Bank Building, Ste. F1-200, Indianapolis, IN 46202-5166 | 2017-10-05 |
| 1477820017 | A Klas Association | Family Medicine | 1829 Brassica Ln, Blgd. A, Indianapolis, IN 46217-7095 | 2011-11-28 |
| 1043590102 | Kennard B Sproul | Family Medicine | 1481 W 10th St, Va Medical Center, Indianapolis, IN 46202-2803 | 2011-08-22 |
| 1669692513 | Dr Segun Rasaki Md LLC | Family Medicine | 3266 N Meridian St, Suite 601, Indianapolis, IN 46208-5846 | 2007-04-25 |
| 1508886474 | Robert B Barber | Family Medicine | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2006-07-20 |
| 1346271574 | Freida R Thompson | Family Medicine | 4880 Century Plaza Rd, Ste 265, Indianapolis, IN 46254-5471 | 2006-07-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.