Active NPI
John Karl Lachica De Dios, MD
- Clinical Biochemical Genetics Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Biochemical Genetics Physician
- License
- 35.127289
- Practice address
- 1 Childrens PLZ
Dayton, OH 45404-1815 - Phone
- (937) 641-4000
- Fax
- (937) 641-5325
- NPI assigned
- Jan 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Biochemical Genetics Physician | 207SG0202X | 35.127289 | OH | Primary |
Addresses
Primary practice location
1 Childrens PLZ
Dayton, OH 45404-1815
Mailing address
PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0147732 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171019002680 | OH | Practitioner - Pediatric Medicine | 1759605488 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Childrens PLZ
Dayton, OH 45404-1873
Phone (937) 641-4000
Hospital & facility affiliations
- Dayton Childrens Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.127289 | OH | MD | Clinical Biochemical Genetics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Children'S Specialty Physicians, Inc. | Current | Accepting new patients | |
| Dayton Children'S Specialty Physicians, Inc. | Current | Accepting new patients |
Locations
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Dayton, OH
- NPI 1780467555
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1093019291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933432",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041815",
"telephone_number": "937-641-4000",
"fax_number": "937-641-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE DIOS",
"first_name": "JOHN KARL",
"middle_name": "LACHICA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-03",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0202X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Biochemical Genetics",
"state": "OH",
"license": "35.127289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0147732",
"state": "OH"
}
],
"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 Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.