Organization Active NPI

Dennis E McClure MD Inc

  • Neurological Surgery Physician
  • Dayton, OH
National Provider Identifier
1487843470
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
57244 Issued in OH
Legal business name
DENNIS E MCCLURE MD INC
Practice address
8654 N Main Street
Dayton, OH 45415-1328
Phone
(937) 898-9735
Fax
(937) 898-2447
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Sheryl A Vickers
Title
Office Manager
Phone
(937) 898-9735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 57244 OH Primary

Addresses

Primary practice location

8654 N Main Street
Dayton, OH 45415-1328

Mailing address

8654 N Main Street
Dayton, OH 45415-1328
Phone (937) 898-9735

Other identifiers 1

IdentifierTypeStateIssuer
9317151OtherOHMEDICARE LEGACY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1487843470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8654 N MAIN STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151328",
            "telephone_number": "937-898-9735",
            "fax_number": "937-898-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8654 N MAIN STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151328",
            "telephone_number": "937-898-9735",
            "fax_number": "937-898-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS E MCCLURE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-898-9735"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "57244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "9317151",
            "state": "OH"
        }
    ],
    "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 Oct 19, 2007; 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.