Organization Active NPI

Project Impact-Dayton

  • Community Health Clinic/Center
  • Dayton, OH
National Provider Identifier
1396704656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PROJECT IMPACT-DAYTON
Practice address
115 E 3Rd St
Fourth Floor
Dayton, OH 45402-5100
Phone
(937) 222-5683
Fax
(937) 222-4640
NPI assigned
Mar 23, 2006
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
Joe S. Riggins
Title
President
Phone
(937) 222-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X OH Primary

Addresses

Primary practice location

115 E 3Rd St
Fourth Floor
Dayton, OH 45402-5100

Mailing address

115 E 3Rd St
Fourth Floor
Dayton, OH 45402-5100
Phone (937) 222-5683

National Provider Directory

National Provider Directory
Tax ID family
Project Cure Ohio2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

115 E 3rd St
Fl 4
Dayton, OH 45402
Phone (937) 222-5683

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396704656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 3RD ST",
            "address_2": "FOURTH FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454025100",
            "telephone_number": "937-222-5683",
            "fax_number": "937-222-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 3RD ST",
            "address_2": "FOURTH FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454025100",
            "telephone_number": "937-222-5683",
            "fax_number": "937-222-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT IMPACT-DAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIGGINS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-222-5683"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "OH",
            "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 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.