Healthcare Provider Details

I. General information

NPI: 1205173986
Provider Name (Legal Business Name): CHEYENNE ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3077 E 98TH ST STE 190
CARMEL IN
46280-2936
US

IV. Provider business mailing address

3077 E 98TH ST STE 190
CARMEL IN
46280-2936
US

V. Phone/Fax

Practice location:
  • Phone: 317-253-7795
  • Fax: 317-253-7798
Mailing address:
  • Phone: 317-253-7795
  • Fax: 317-253-7798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateIN

VIII. Authorized Official

Name: DR. SHEILA B THOMAS
Title or Position: OWNER, PHYSICIAN
Credential: DO
Phone: 317-253-7795