Organization Active NPI

Millennium Wellness LLC

  • Surgery Physician
  • Dayton, OH
National Provider Identifier
1508995606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35051389 Issued in OH
Legal business name
MILLENNIUM WELLNESS LLC
Practice address
7740 Washington Village Dr Ste 110
Dayton, OH 45459-3994
Phone
(937) 436-9821
NPI assigned
Mar 5, 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
Rebecca Glaser
Title
Owner
Phone
(937) 436-9821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 35051389 OH Primary

Addresses

Primary practice location

7740 Washington Village Dr Ste 110
Dayton, OH 45459-3994

Mailing address

7740 Washington Village Dr Ste 110
Dayton, OH 45459-3994

National Provider Directory

National Provider Directory

Locations

7740 Washington Village Dr
Ste 110
Dayton, OH 45459
Phone (937) 436-9821

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508995606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593994",
            "telephone_number": "937-436-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-436-9821"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35051389",
            "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.