Active NPI
Health Specialists of Dayton Inc
Doing business as Weight Loss Center of Dayton
- Surgery Physician
- Dayton, OH
National Provider Identifier
1376680090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- HEALTH SPECIALISTS OF DAYTON INC
- Doing business as
- Weight Loss Center of Dayton
- Practice address
- 30 E Apple St
Suite 6258
Dayton, OH 45409-2939 - Phone
- (000) 000-0000
- Fax
- (937) 208-5650
- NPI assigned
- Jan 31, 2007
- Last updated
- Mar 12, 2008
- Organization subpart
- Yes
- Parent organization
- HEALTH SPECIALISTS OF DAYTON INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Prunier
- Title
- Ceo President
- Phone
- (937) 208-8252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
30 E Apple St
Suite 6258
Dayton, OH 45409-2939
Mailing address
30 E Apple St
Suite 6258
Dayton, OH 45409-2939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2511491 | Medicaid | OH |
Other names 1
- Weight Loss Center of Dayton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050610000010 | OH | Part B Supplier - Clinic/Group Practice | 5597708594 |
Receives reassigned benefits from 938 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Health Specialists of Dayton Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1376680090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "SUITE 6258",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"fax_number": "937-208-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "SUITE 6258",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "000-000-0000",
"fax_number": "937-208-5650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH SPECIALISTS OF DAYTON INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH SPECIALISTS OF DAYTON INC",
"enumeration_date": "2007-01-31",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "PRUNIER",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "937-208-8252"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2511491",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Weight Loss Center of Dayton",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dayton, OH
- Health at Home, LLC (Bethany Village Home Health Care)
- Health by Design
- Health Specialists of Dayton Inc (David D Kim MD and Associates)
- Health Specialists of Dayton Inc (Anil H Jhangiani MD Company)
- Health Specialists of Dayton Inc (James R Rademacher MD Company)
- Health Specialists of Dayton Inc (Melissa P Roelle MD Company)
- Health Specialists of Dayton Inc (Ranjit R Pullarkat MD Company)
- Health Specialists of Dayton Inc (Nam X. Nguyen MD Co)
- Health Specialists of Dayton Inc (W Roberts Wood MD Company)
- Health Specialists of Dayton Inc (Ned Williams DO Company)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.