Organization Active NPI

Dayton Medical Associates

  • Family Medicine Physician
  • Dayton, NV
National Provider Identifier
1093839391
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7864 Issued in NV
Legal business name
DAYTON MEDICAL ASSOCIATES
Practice address
5 Pine Cone Rd
Suite 102
Dayton, NV 89403-7393
Phone
(775) 246-0200
Fax
(775) 246-0812
NPI assigned
Mar 19, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Robert J Kimmel, M.D.NPI 1982786943
Title
President
Phone
(775) 246-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7864 NV Primary

Addresses

Primary practice location

5 Pine Cone Rd
Suite 102
Dayton, NV 89403-7393

Mailing address

PO Box 21530
Carson City, NV 89721-1530
Phone (775) 884-2455

National Provider Directory

National Provider Directory

Locations

34 Lakes Blvd
Ste 101
Dayton, NV 89403
Phone (775) 246-0812

5 Pine Cone Rd
Ste 102
Dayton, NV 89403
Phone (775) 246-0200

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1093839391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21530",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897211530",
            "telephone_number": "775-884-2455",
            "fax_number": "775-884-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE CONE RD",
            "address_2": "SUITE 102",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037393",
            "telephone_number": "775-246-0200",
            "fax_number": "775-246-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-246-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.