Active NPI
Dale Gregory Evans, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Spring Valley, OH
National Provider Identifier
1700947314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 35056447
- Practice address
- 1931 River Ridge Dr
Spring Valley, OH 45370-9781 - Phone
- (937) 546-7281
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 35056447 | OH | Primary |
| Pediatrics Physician | 208000000X | 35.056447 | OH |
Addresses
Primary practice location
1931 River Ridge Dr
Spring Valley, OH 45370-9781
Mailing address
1931 River Ridge Dr
Spring Valley, OH 45370-9781
Phone (937) 546-7281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0800637 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150824000675 | OH | Practitioner - Pediatric Medicine | 9234457516 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35056447 | OH | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Children'S Specialty Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Dayton Children'S Specialty Physicians, Inc. | Pediatric Emergency Medicine | Current | Accepting new patients |
Locations
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Dayton, OH
- NPI 1225192610
OH, Pediatric Emergency Medicine
-
- Pediatrics Physician
- Dayton, OH
- NPI 1780467555
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1700947314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 RIVER RIDGE DR",
"city": "SPRING VALLEY",
"state": "OH",
"postal_code": "453709781",
"telephone_number": "937-546-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 RIVER RIDGE DR",
"city": "SPRING VALLEY",
"state": "OH",
"postal_code": "453709781",
"telephone_number": "937-546-7281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DALE",
"middle_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "OH",
"license": "35056447",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.056447",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0800637",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.