Individual provider Active NPI

Michael N. Dohn, MD

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1730504044
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35045531 Issued in OH
Practice address
117 S Main St
Reibold Building
Dayton, OH 45422-2005
Phone
(937) 225-4550
Fax
(937) 496-7613
NPI assigned
Feb 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35045531 OH Primary
Internal Medicine Physician 207R00000X 21151 KY

Addresses

Primary practice location

117 S Main St
Reibold Building
Dayton, OH 45422-2005

Mailing address

117 S Main St
Medical Billing - Second Floor
Dayton, OH 45422-2005
Phone (937) 225-4550

Other identifiers 1

IdentifierTypeStateIssuer
0548072MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21151KYMDInternal Medicine Physician
35045531OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1730504044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "address_2": "MEDICAL BILLING - SECOND FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454222005",
            "telephone_number": "937-225-4550",
            "fax_number": "937-496-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "address_2": "REIBOLD BUILDING",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454222005",
            "telephone_number": "937-225-4550",
            "fax_number": "937-496-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHN",
        "first_name": "MICHAEL",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35045531",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "21151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0548072",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.