Active NPI
Dayton Pediatric Urology Associates
- Urology Physician
- Dayton, OH
National Provider Identifier
1104958768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- DAYTON PEDIATRIC UROLOGY ASSOCIATES
- Practice address
- 1 Childrens PLZ
Urology
Dayton, OH 45404-1898 - Phone
- (937) 641-3466
- Fax
- (937) 641-4600
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lynn A Buffington
- Title
- Corporate Secretary
- Phone
- (937) 429-7196
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary | ||
| Pediatric Urology Physician | 2088P0231X |
Addresses
Primary practice location
1 Childrens PLZ
Urology
Dayton, OH 45404-1898
Mailing address
1 Childrens PLZ
Urology
Dayton, OH 45404-1898
Phone (937) 641-3466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2199115 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104958768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"address_2": "UROLOGY",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041898",
"telephone_number": "937-641-3466",
"fax_number": "937-641-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"address_2": "UROLOGY",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041898",
"telephone_number": "937-641-3466",
"fax_number": "937-641-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYTON PEDIATRIC UROLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BUFFINGTON",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "937-429-7196",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2199115",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.