NPIMap

Organization Active NPI

Phoenix Integrated Health

  • Addiction Medicine (Family Medicine) Physician
  • Dublin, OH
National Provider Identifier
1265997118
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
PHOENIX INTEGRATED HEALTH
Practice address
5945 Sawmill Rd Unit B
Dublin, OH 43017-1623
Phone
(614) 389-3030
Fax
(614) 413-3536
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Burt Dhira
Title
Ceo
Phone
(614) 551-4364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

5945 Sawmill Rd Unit B
Dublin, OH 43017-1623

Mailing address

5945 Sawmill Rd Unit B
Dublin, OH 43017-1623
Phone (614) 389-3030

Other practice location 1

32 Miller Ave
Ashville, OH 43103-1273
Phone (614) 389-3030

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Integrated Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1265997118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 SAWMILL RD UNIT B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171623",
            "telephone_number": "614-389-3030",
            "fax_number": "614-413-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 SAWMILL RD UNIT B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171623",
            "telephone_number": "614-389-3030",
            "fax_number": "614-413-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Ashville",
            "state": "OH",
            "postal_code": "431031273",
            "country_code": "US",
            "telephone_number": "614-389-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX INTEGRATED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "DHIRA",
        "authorized_official_first_name": "BURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-551-4364"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.