NPIMap

Organization Active NPI

Dayton Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Dayton, OH
National Provider Identifier
1063641272
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35035932R Issued in OH
Legal business name
DAYTON PAIN CENTER LLC
Practice address
9000 N Main St
Dayton, OH 45415-1180
Phone
(937) 222-2233
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
DAYTON PAIN CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Indira Reddy, MD
Title
Business Manager
Phone
(937) 222-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35035932R OH Primary

Addresses

Primary practice location

9000 N Main St
Dayton, OH 45415-1180

Mailing address

1 Elizabeth PL
Ste D
Dayton, OH 45408-1445
Phone (937) 222-2233

National Provider Directory

National Provider Directory
Tax ID family
Dayton Pain Center LLC5 organizations share this tax ID, including this one
Part of
Dayton Pain Center LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1063641272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "STE D",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081445",
            "telephone_number": "937-222-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-222-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON PAIN CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAYTON PAIN CENTER LLC",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "937-222-2233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35035932R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.