OrganizationActive
Eagle Dancer Inc
NPI 1700051711 · Customized Equipment (DME) · Bloomington, IN
Eagle Dancer Inc is a Customized Equipment (DME) organization in Bloomington, IN (NPI 1700051711).
Provider details
- NPI number
- 1700051711
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Raymond Stidd, Provider(812) 330-0909
- License
- 280-B (IN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
414 S College Ave
Bloomington, IN 47403-1513
Phone: (812) 331-1962
Fax: (812) 332-1949
Street-level locationGet directions
Mailing address
414 S College Ave
Bloomington, IN 47403-1513
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2009-11-23
Frequently asked questions
- What is Eagle Dancer Inc's NPI number?
- Eagle Dancer Inc's National Provider Identifier (NPI) is 1700051711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Dancer Inc?
- Eagle Dancer Inc is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Eagle Dancer Inc located?
- Eagle Dancer Inc's practice location on file with NPPES is 414 S College Ave, Bloomington, IN 47403-1513.
- What is Eagle Dancer Inc's phone number?
- The practice phone number listed in the NPPES registry for Eagle Dancer Inc is (812) 331-1962.
- Who is the authorized official for Eagle Dancer Inc?
- The authorized official listed on Eagle Dancer Inc's NPPES record is Raymond Stidd, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Dancer Inc's NPI active?
- Yes — Eagle Dancer Inc's NPI (1700051711) is active in the NPPES registry as of the last update on 2009-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.