DR. BENNETT BENITO DESADIER (NPI# 1972507879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972507879 |
| Entity Type | Individual |
| Full Name | DR. BENNETT BENITO DESADIER |
| Credential | M.D. |
| Practice Address |
2020 W 86th St Ste 305 Indianapolis IN 46260-1931 |
| Practice Telephone | 3173341692 |
| Practice Fax Number | 3173341693 |
| Mailing Telephone | 3173341692 |
| Mailing Fax Number | 3173341693 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 024318 | IN | Other Service Providers |
| Street Address |
2020 W 86TH ST STE 305 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124467360 | Danielle A Payne | Optometrist | 2020 W 86th St, Indianapolis, IN 46260-1969 | 2013-06-20 |
| 1962732560 | Barrett Eye Care Indianapolis LLC | Ophthalmology | 2020 W 86th St, Suite 104, Indianapolis, IN 46260-1969 | 2010-01-04 |
| 1104002815 | Dr Elliott Yolles Psc | Ophthalmology | 2020 W 86th St, Suite 104, Indianapolis, IN 46260-1931 | 2008-01-11 |
| 1497956031 | William Harley Cook | Social Worker | 2020 W 86th St, Suite 301, Indianapolis, IN 46260-1969 | 2007-05-30 |
| 1609932870 | Cynthia B Desadier | Counselor | 2020 W 86th St, Suite 305, Indianapolis, IN 46260-1969 | 2006-12-29 |
| 1801982129 | Donald L Cline | Obstetrics & Gynecology | 2020 W 86th St, Suite 310, Indianapolis, IN 46260-1969 | 2006-10-05 |
| 1982790226 | Reproductive Endocrinology Associates | Obstetrics & Gynecology | 2020 W 86th St, Suite 310, Indianapolis, IN 46260-1969 | 2006-10-05 |
| 1528175379 | Moriarity /allen, Psc | Obstetrics & Gynecology | 2020 W 86th St, Suite #306, Indianapolis, IN 46260-1969 | 2006-08-25 |
| 1538185673 | 20/20 Eye Physicians of Indiana, PC | Eyewear Supplier (Equipment, not the service) | 2020 W 86th St, Suite 200, Indianapolis, IN 46260-1969 | 2006-07-14 |
| 1497736631 | Comprehensive Obgyn Inc | Obstetrics & Gynecology | 2020 W 86th St, Suite 305, Indianapolis, IN 46260-1969 | 2005-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1487028429 | Binh Nguyen | Specialist | 11022 Tenacious Dr, Indianapolis, IN 46236-9566 | 2015-11-13 |
| 1578930111 | Christina Price | Specialist | 1035 Helen Dr, Indianapolis, IN 46240-3008 | 2015-08-31 |
| 1023494994 | Joachim Wernicke | Specialist | 447 W 91st St, Indianapolis, IN 46260 | 2015-08-03 |
| 1275917031 | Elise Brown | Specialist | 5117 Chatham Pl, Indianapolis, IN 46226-2272 | 2015-07-11 |
| 1134525777 | Ellen M Einterz | Specialist | 6160 N Ewing St, Indianapolis, IN 46220-5147 | 2014-11-10 |
| 1801149687 | Wiriyaporn Ridtitid | Specialist | 550 University Blvd # Uh1634, Indianapolis, IN 46202-5149 | 2012-10-18 |
| 1053687210 | Daniel Connor Drew | Specialist | 7168 Graham Rd, Suite 150, Indianapolis, IN 46250-2686 | 2012-03-31 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.