Danny L Reveal, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35037072 Issued in OH

Legal business name

DANNY L REVEAL, M.D., INC.

Practice address

2300 Far Hills Ave
Dayton, OH 45419-1550

Phone

(937) 293-2300

Fax

(937) 293-2331

NPI assigned

Mar 21, 2007

Last updated

Apr 24, 2008By 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

Dr. Danny Lee Reveal, M.D.

Title

President

Phone

(937) 293-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1730205030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191550",
            "telephone_number": "937-293-2300",
            "fax_number": "937-293-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191550",
            "telephone_number": "937-293-2300",
            "fax_number": "937-293-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY L REVEAL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "REVEAL",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-293-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35037072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG5697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Daniels, HOME HEALTH AIDE
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• Tammy Lynn Dann, D.O.
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• Darcie R Clark LPCC LLC (Riverscape Counseling)

• Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.