Organization Active NPI

City of Dayton

  • Land Ambulance
  • Dayton, OH
National Provider Identifier
1265433130
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF DAYTON
Practice address
300 N Main St
Dayton, OH 45402-1208
Phone
(888) 449-8112
Fax
(888) 965-4620
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Jeffrey Payne II
Title
Director
Phone
(937) 333-4504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

300 N Main St
Dayton, OH 45402-1208

Mailing address

PO Box 632458
Cincinnati, OH 45263-2458
Phone (888) 449-8112

Other identifiers 3

IdentifierTypeStateIssuer
590008510OtherOHRAILROAD MEDICARE
000000021399OtherOHANTHEM
0978330MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070223000196 OH Part B Supplier - Ambulance Service Supplier 9931201811 Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

4111 Kings Hwy
Dayton, OH 45406

2801 Wayne Ave
Dayton, OH 45420

1009 E 3rd St
Dayton, OH 45402

2636 Stanley Ave
Dayton, OH 45404

4236 Brandt Pike
Dayton, OH 45404

1723 W 3rd St
Dayton, OH 45402

2213 N Main St
Dayton, OH 45405

207 S Smithville Rd
Dayton, OH 45431

4118 W 3rd St
Dayton, OH 45417

145 Warren St
Dayton, OH 45402

1234 S Broadway St
Dayton, OH 45417

300 N Main St
Dayton, OH 45402
Phone (513) 443-4515

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1265433130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632458",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632458",
            "telephone_number": "888-449-8112",
            "fax_number": "888-965-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021208",
            "telephone_number": "888-449-8112",
            "fax_number": "888-965-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-333-4504",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008510",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000021399",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978330",
            "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 Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.