NPIMap

Organization Active NPI

Wright State University

  • Public Health or Welfare Agency
  • Dayton, OH
National Provider Identifier
1356560486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WRIGHT STATE UNIVERSITY
Practice address
9 N. Edwin C. Moses Blvd.
Dayton, OH 45402-6837
Phone
(937) 775-4300
Fax
(937) 775-4323
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William K. Sellers, PH.D.
Title
Asst. Vice President, RSP
Phone
(937) 775-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

9 N. Edwin C. Moses Blvd.
Dayton, OH 45402-6837

Mailing address

3640 Colonel Glenn Hwy
201J University Hall
Dayton, OH 45435-0001
Phone (937) 775-2425

Other names 1

  • Wright State University Prevention Program Other name

National Provider Directory

National Provider Directory
Tax ID family
University Med Serv Ass6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

9 N Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 254-9210

3640 Colonel Glenn Hwy
#201J
Dayton, OH 45435

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356560486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 COLONEL GLENN HWY",
            "address_2": "201J UNIVERSITY HALL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001",
            "telephone_number": "937-775-2425",
            "fax_number": "937-775-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N. EDWIN C. MOSES BLVD.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026837",
            "telephone_number": "937-775-4300",
            "fax_number": "937-775-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASST. VICE PRESIDENT, RSP",
        "authorized_official_telephone_number": "937-775-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright State University Prevention Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 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.