Dinesh Nayak MD Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

35067339N Issued in OH

Legal business name

DINESH NAYAK MD INC.

Practice address

28 E 2ND St
Manchester, OH 45144-1302

Phone

(937) 549-2691

NPI assigned

Jul 5, 2006

Last updated

Sep 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dinesh U Nayak, MDNPI 1932102092

Title

President/Owner

Phone

(937) 549-2691

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dinesh U. Nayak, MD

  • Family Medicine Physician
  • Manchester, OH
  • NPI 1932102092
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1659301323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E 2ND ST",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451441302",
            "telephone_number": "937-549-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E 2ND ST",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451441302",
            "telephone_number": "937-549-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINESH NAYAK MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "937-549-2691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OH",
            "license": "35067339N",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35067339N",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Conley
• Dredan Lee Copeland
• Beverly Jane Cox
• Jaclyn Rose Crawford, MA, CF-SLP
• Andrew Ray Culbertson, PEER SUPPORT
• Judith Ann Fulton, FNP
• Ruby Vanessa Lee Gilliam, R.N.
• Sandra D. Greenfeather
• Brittney Hale
• Tiffney Marie Henderson

• Multi-Specialty Clinic/Center in Manchester, OH
• Providers in Manchester, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.