Organization Active NPI

Dayton Ear Nose & Throat Surgeons Inc

  • Medical Specialty Clinic/Center
  • Centerville, OH
National Provider Identifier
1477594000
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0016AS Issued in OH
Legal business name
DAYTON EAR NOSE & THROAT SURGEONS INC
Practice address
7076 Corporate Way
Centerville, OH 45459-4281
Phone
(937) 434-0555
Fax
(937) 434-7413
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. John Hayes Boyles Jr., M.D.
Title
Medical Director
Phone
(937) 434-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0016AS OH Primary

Addresses

Primary practice location

7076 Corporate Way
Centerville, OH 45459-4281

Mailing address

7076 Corporate Way
Centerville, OH 45459-4281
Phone (937) 434-0555

Other identifiers 1

IdentifierTypeStateIssuer
0972596MedicaidOH

National Provider Directory

National Provider Directory

Locations

7076 Corporate Way
Dayton, OH 45459
Phone (937) 434-0555

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1477594000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7076 CORPORATE WAY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594281",
            "telephone_number": "937-434-0555",
            "fax_number": "937-434-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7076 CORPORATE WAY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594281",
            "telephone_number": "937-434-0555",
            "fax_number": "937-434-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON EAR NOSE & THROAT SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-434-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "0016AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972596",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.