Dayton Pain Center LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DAYTON PAIN CENTER LLC

Practice address

1 Elizabeth PL Ste D
Dayton, OH 45417-3445

Phone

(937) 222-2233

Fax

(937) 222-9665

NPI assigned

Jan 31, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Grant Goodwin, DC

Title

Practice Manager

Phone

(937) 952-6567

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Dayton Pain Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Dayton Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Dayton, OH
  • NPI 1063641272
  NPD tax ID
• Dayton Pain Center LLC

  dba Wright Path Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1205349362
  NPD tax ID
• Dayton Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Sidney, OH
  • NPI 1417076803
  NPD tax ID
• Dayton Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Clayton, OH
  • NPI 1962663765
  NPD tax ID

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1114425535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL STE D",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-222-2233",
            "fax_number": "937-222-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL STE D",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-222-2233",
            "fax_number": "937-222-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-952-6567",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D1096643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayton Osteopathic Hospital (Grandview Hospital - Anesthesia)
• Dayton Osteopathic Hospital (Kettering Health Pharmacy Washington Township)
• Dayton Outpatient Center Inc (DOC Imaging Services)
• Dayton Pain and Preventive Medicine
• Dayton Pain Center LLC
• Dayton Pain Center LLC (Wright Path Recovery)
• Dayton Pain Center LLC
• Dayton Pain Management LLC (Ohio Pain Solutions)
• Dayton Pathology Associates, Inc
• Dayton Pediatric Imaging Inc

• Clinical Medical Laboratory in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.