DRESDAN QUACKENBUSH DO
NPI 1144168469
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Dresdan Quackenbush's NPI number?

The NPI number for Dresdan Quackenbush is 1144168469. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Q: What is Dresdan Quackenbush's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 25, 2026PECOS Enrolled

8414 NAAB RD, INDIANAPOLIS, IN 46260(317) 338-7510(317) 338-7539 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dresdan Quackenbush Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRESDAN QUACKENBUSH DO (NPI 1144168469) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144168469

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDRESDAN QUACKENBUSHCredential: DO

Location Address8414 NAAB RDIndianapolis, IN 46260-1972

Mailing Address8414 Naab RdIndianapolis, IN 46260-1972 · (317) 338-7510 · Fax (317) 338-7539

Phone(317) 338-7510

Fax(317) 338-7539

Sole ProprietorYes

Enumeration DateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1144168469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8414 NAAB RD, Indianapolis, IN 46260

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dresdan Quackenbush Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCEDES MARIA VALACER DO

Student in an Organized Health Care Education/Training Program