North Dayton Addiction & Recovery, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTH DAYTON ADDICTION & RECOVERY, LLC

Practice address

117 S Dixie Drive
Suite 4
Vandalia, OH 45377

Phone

(937) 416-5442

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Paul Kolodzik, MDNPI 1760422869

Title

President/Ceo

Phone

(937) 416-5442

Specialties & licenses 1

Addresses

Practitioners 1

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

• Paul W Kolodzik, MD

  • Emergency Medicine Physician
  • Greenfield, OH
  • NPI 1760422869
  NPD Authorized official

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649794884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S DIXIE DR STE 4",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772142",
            "telephone_number": "937-416-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S DIXIE DRIVE",
            "address_2": "SUITE 4",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "45377",
            "telephone_number": "937-416-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DAYTON ADDICTION & RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOLODZIK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-416-5442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neely Dental GPS LLC
• Matthew A Neely, DDS
• Natalie Christine Neff, APRN
• New Life at Home Care LLC
• William Brian Newman, DO
• Robert Michael O'Callaghan, PA
• Obsidian Physical Therapy LLC
• Occupational Health Centers of Ohio, PA, Co
• James Matthew Oconnor
• Shelby Lynn Oda, LMFT

• Clinic/Center in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Clinic/Center 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.