Organization Active NPI

Dayton Cardiology Consultants, LLC

  • Clinical Cardiac Electrophysiology Physician
  • Centerville, OH
National Provider Identifier
1033727292
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
DAYTON CARDIOLOGY CONSULTANTS, LLC
Practice address
6635 Centerville Business Pkwy
Centerville, OH 45459-2655
Phone
(937) 951-2016
Fax
(937) 951-2018
NPI assigned
Jul 14, 2020
Last updated
Oct 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cathy A Corbeil
Title
Office Manager
Phone
(937) 951-2016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X Primary

Addresses

Primary practice location

6635 Centerville Business Pkwy
Centerville, OH 45459-2655

Mailing address

6635 Centerville Business Pkwy
Centerville, OH 45459-2655
Phone (937) 951-2016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201030001368 OH Part B Supplier - Clinic/Group Practice 0446660542 Receives reassigned benefits from 1 practitioner
Practice locations: Centerville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1033727292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592655",
            "telephone_number": "937-951-2016",
            "fax_number": "937-951-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592655",
            "telephone_number": "937-951-2016",
            "fax_number": "937-951-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CARDIOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "CORBEIL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-951-2016",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.