Dayton Radiology Associates Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DAYTON RADIOLOGY ASSOCIATES INC

Doing business as

Open MRI of Tipp City

Practice address

1479 W Main St
Tipp City, OH 45371-2803

Phone

(888) 440-6494

Fax

(330) 759-1501

NPI assigned

Aug 29, 2005

Organization subpart

Yes

Parent organization

DAYTON RADIOLOGY ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

David L Bloom, MD

Title

President

Phone

(973) 707-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Open MRI of Tipp City Doing business as

Part of

Dayton Radiology Associates

Locations

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538152194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SPRING HILL RD",
            "address_2": "SUITE 500",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023000",
            "telephone_number": "703-287-4189",
            "fax_number": "703-448-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 W MAIN ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453712803",
            "telephone_number": "888-440-6494",
            "fax_number": "330-759-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON RADIOLOGY ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAYTON RADIOLOGY ASSOCIATES INC",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-707-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2285941",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI of Tipp City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy K Dallman, LPCC
• David a. Koch, O.D., Inc.
• Andrew L Davidson, O.D.
• Kyrstin Brooke Davis
• Akin-Deli S Day
• Kathryn Lorraine Dearing, M.D.
• Michele J Deeter
• Julie Christine Deland
• Tess Devos, LSW
• Digestive Specialty Care Inc

• Diagnostic Radiology Physician in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.