Organization Active NPI

Dominic Dipierro, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
National Provider Identifier
1285232603
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DOMINIC DIPIERRO, DPM, LLC
Practice address
5538 Philadelphia Dr
Dayton, OH 45415-3062
Phone
(937) 637-7994
NPI assigned
Oct 16, 2020
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
Kassidy Dipierro
Title
Billing Manager
Phone
(937) 532-8845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

5538 Philadelphia Dr
Dayton, OH 45415-3062

Mailing address

PO Box 341689
Beavercreek, OH 45434-1689
Phone (937) 637-8286

Other names 1

  • Buckeye Foot and Ankle Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

5538 Philadelphia Dr
Dayton, OH 45415
Phone (937) 277-9387

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1285232603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341689",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454341689",
            "telephone_number": "937-637-8286",
            "fax_number": "937-736-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5538 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153062",
            "telephone_number": "937-637-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC DIPIERRO, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "DIPIERRO",
        "authorized_official_first_name": "KASSIDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "937-532-8845"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckeye Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.