Dayton Spine and Rehabilitation Medicine LTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DAYTON SPINE AND REHABILITATION MEDICINE LTD

Practice address

2591 Miamisburg Centerville Rd
Ste 300
Centerville, OH 45459-3706

Phone

(937) 435-3620

Fax

(937) 435-3660

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

David Kinnaird Johnson, M.D.

Title

Medical Director

Phone

(937) 435-3620

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1275586455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 MIAMISBURG CENTERVILLE RD",
            "address_2": "STE 300",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593706",
            "telephone_number": "937-435-3620",
            "fax_number": "937-435-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 MIAMISBURG CENTERVILLE RD",
            "address_2": "STE 300",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593706",
            "telephone_number": "937-435-3620",
            "fax_number": "937-435-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON SPINE AND REHABILITATION MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KINNAIRD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-435-3620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901300A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2057045",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayton OB-GYN Inc
• Dayton Ohio Comprehensive Surgery LLC
• Dayton Pain Specialists, LLC
• Dayton Physicians, LLC (Dayton Physicians)
• Dayton Radiology Associates Inc (Dayton Open MRI)
• DDC Group Inc (BrightStar Care)
• DDC Group Inc. (BrightStar Care)
• Madison G Dean
• Alexis Dearth
• Demirjian Neurology & Pain Management, Inc.

• Physical Medicine & Rehabilitation Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.