Dayton Occupational Medical Center LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35078014 Issued in OH

Legal business name

DAYTON OCCUPATIONAL MEDICAL CENTER LTD

Practice address

2597 Needmore Rd
Dayton, OH 45414-4203

Phone

(937) 277-4053

Fax

(937) 277-2943

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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

Ms. Brenda K Lewis

Title

Office Manager

Phone

(937) 277-4053

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225241029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 NEEDMORE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454144203",
            "telephone_number": "937-277-4053",
            "fax_number": "937-277-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2597 NEEDMORE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454144203",
            "telephone_number": "937-277-4053",
            "fax_number": "937-277-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON OCCUPATIONAL MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-277-4053",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35078014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2707048",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayton Medical Massage, LLC
• Dayton Neurologic Associates LLC
• Dayton Newborn Care Specialists, Inc.
• Dayton Nursing & Rehabilitation Center LLC
• Dayton Occupational Consultants
• Dayton Optometric Center Inc.
• Dayton Optometric Center Inc.
• Dayton Orthopaedic Surgery & Sports Medicine Center
• Dayton Orthopedic Center, Inc
• Dayton Osteopathic Hospital (Kettering Health Dayton)

• Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Specialist in Ohio

• 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.