NPIMap

Organization Active NPI

Dayton Orthopedic Surgery and Sports Medicine Center

  • Exclusive Provider Organization
  • Kettering, OH
National Provider Identifier
1154469765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
AT.001991 Issued in OH
Legal business name
DAYTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE CENTER
Practice address
5491 Far Hills Ave
Kettering, OH 45429-2325
Phone
(937) 436-5763
Fax
(937) 436-7399
NPI assigned
Feb 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jonathan PaleyNPI 1508967316
Title
Orthopedic Surgeon
Phone
(937) 436-5763

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
Exclusive Provider Organization 302F00000X AT.001991 OH Primary

Addresses

Primary practice location

5491 Far Hills Ave
Kettering, OH 45429-2325

Mailing address

1263 Kern Dr
Germantown, OH 45327-8358

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154469765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 KERN DR",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453278358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292325",
            "telephone_number": "937-436-5763",
            "fax_number": "937-436-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "937-436-5763",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "AT.001991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.