Organization Active NPI

Good Neighbor House

  • Dentist
  • Dayton, OH
National Provider Identifier
1285044321
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GOOD NEIGHBOR HOUSE
Practice address
627 E 1St St
Dayton, OH 45402-1367
Phone
(937) 224-3003
Fax
(937) 224-1771
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mrs. Tiffany M. Collie
Title
Chief Operations Officer
Phone
(937) 224-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

627 E 1St St
Dayton, OH 45402-1367

Mailing address

627 E. First Street
Dayton, OH 45402
Phone (937) 224-3003

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0927828Good Neighbor House Clinic627 E First St, Dayton, OH 45402Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1285044321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 E. FIRST STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45402",
            "telephone_number": "937-224-3003",
            "fax_number": "937-224-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 E 1ST ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021367",
            "telephone_number": "937-224-3003",
            "fax_number": "937-224-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "COLLIE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "937-224-3003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.