1427468263 NPI number — MRS. DAKUN MASCHMEYER CMTPT, CMT

Table of content: MRS. DAKUN MASCHMEYER CMTPT, CMT (NPI 1427468263)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427468263 NPI number — MRS. DAKUN MASCHMEYER CMTPT, CMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MASCHMEYER
Provider First Name:
DAKUN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CMTPT, CMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NICHOLLS
Provider Other First Name:
DAKUN
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CMTPT, CMT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427468263
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12428 BAYHILL DR
Provider Second Line Business Mailing Address:
SUITE 170
Provider Business Mailing Address City Name:
CARMEL
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46033-9534
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-973-0888
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10291 N MERIDIAN ST
Provider Second Line Business Practice Location Address:
SUITE 170
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46290-1076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-973-0888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 172M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)