Organization Active NPI

Dayton Cardiology Consult

  • Specialist
  • Beavercreek, OH
National Provider Identifier
1679752570
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DAYTON CARDIOLOGY CONSULT
Practice address
2141 N Fairfield Rd
Beavercreek, OH 45431-2578
Phone
(937) 223-3053
Fax
(937) 853-0166
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Kathy Naylor
Title
Scheduling Manager
Phone
(937) 223-3053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OH Primary

Addresses

Primary practice location

2141 N Fairfield Rd
Beavercreek, OH 45431-2578

Mailing address

1126 S Main St
Dayton, OH 45409-2616
Phone (937) 223-3053

Other identifiers 2

IdentifierTypeStateIssuer
0965871MedicaidOH
CL9186OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1679752570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092616",
            "telephone_number": "937-223-3053",
            "fax_number": "937-853-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 N FAIRFIELD RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312578",
            "telephone_number": "937-223-3053",
            "fax_number": "937-853-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CARDIOLOGY CONSULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "NAYLOR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "SCHEDULING MANAGER",
        "authorized_official_telephone_number": "937-223-3053"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965871",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL9186",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.