Active NPI
Dayton Physicians, LLC
- Urology Physician
- Centerville, OH
National Provider Identifier
1265824874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 021911103
- Legal business name
- DAYTON PHYSICIANS, LLC
- Practice address
- 2350 Miami Valley Dr
Suite 500
Centerville, OH 45459-4778 - Phone
- (937) 425-0003
- Fax
- (937) 280-8373
- NPI assigned
- Feb 19, 2015
- 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
- Amy C Panstingel, CMRS
- Title
- Credentialing Specialist
- Phone
- (937) 280-8366
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 021911103 | OH | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
2350 Miami Valley Dr
Suite 500
Centerville, OH 45459-4778
Mailing address
6680 Poe Ave
Suite 200
Dayton, OH 45414-2854
Phone (937) 280-8400
Other names 1
- Dayton Physicians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150407002456 | OH | DME Supplier - Physician - Urology | 1456374859 |
1 other NPI on this enrollment Practice locations: Centerville, OH |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Dayton, OH
- NPI 1811141559
1456374859
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2350 Miami Valley Dr
Ste 500
Dayton, OH 45459
Phone (937) 425-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1265824874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6680 POE AVE",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454142854",
"telephone_number": "937-280-8400",
"fax_number": "937-280-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MIAMI VALLEY DR",
"address_2": "SUITE 500",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594778",
"telephone_number": "937-425-0003",
"fax_number": "937-280-8373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYTON PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-19",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "PANSTINGEL",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "937-280-8366",
"authorized_official_credential": "CMRS"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "OH",
"license": "021911103",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dayton Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.