NPIMap

Organization Active NPI

Dayton Children'S Hospital

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Miamisburg, OH
National Provider Identifier
1073848321
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
Legal business name
DAYTON CHILDREN'S HOSPITAL
Practice address
3333 West Tech Road
Miamisburg, OH 45342
Phone
(937) 641-5725
Fax
(937) 641-6115
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Mr. Chris E. Bergman
Title
VP/Chief Financial Officer/Accounti
Phone
(937) 641-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080P0204X Primary

Addresses

Primary practice location

3333 West Tech Road
Miamisburg, OH 45342

Mailing address

One Children'S Plaza
Dayton, OH 45404-1898
Phone (937) 641-3000

Other identifiers 2

IdentifierTypeStateIssuer
0465509MedicaidOH
363306OtherOHMEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Childrens Medical Center Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Interoperability endpoints

  • FHIR API: https://appprd.childrensdayton.org/interconnect-prd-fhir/api/FHIR/R4/

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1073848321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CHILDREN'S PLAZA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041898",
            "telephone_number": "937-641-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WEST TECH ROAD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "45342",
            "telephone_number": "937-641-5725",
            "fax_number": "937-641-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP/CHIEF FINANCIAL OFFICER/ACCOUNTI",
        "authorized_official_telephone_number": "937-641-3338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465509",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "363306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.