Organization Active NPI

Dale W. Drollinger, M.D., Inc

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1518288562
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35050973 Issued in OH
Legal business name
DALE W. DROLLINGER, M.D., INC
Practice address
5676 Far Hills Ave
Dayton, OH 45429-2206
Phone
(937) 436-1854
Fax
(937) 436-1459
NPI assigned
Jun 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Dale William Drollinger, M.D.NPI 1679598734
Title
President/Owner
Phone
(937) 436-1854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 35050973 OH Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11516NP OH

Addresses

Primary practice location

5676 Far Hills Ave
Dayton, OH 45429-2206

Mailing address

5676 Far Hills Ave
Dayton, OH 45429-2206
Phone (937) 436-1854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005000141 OH Part B Supplier - Clinic/Group Practice 1759573116 Receives reassigned benefits from 2 practitioners
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

5676 Far Hills Ave
Kettering, OH 45429
Phone (937) 436-1854

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1518288562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292206",
            "telephone_number": "937-436-1854",
            "fax_number": "937-436-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292206",
            "telephone_number": "937-436-1854",
            "fax_number": "937-436-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE W. DROLLINGER, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "DROLLINGER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "937-436-1854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35050973",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11516NP",
            "primary": false
        }
    ],
    "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 Oct 18, 2010; 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.

Verify at the official NPI Registry.