Organization Active NPI

Dominic Dipierro, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Springboro, OH
National Provider Identifier
1730532755
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003446 Issued in OH
Legal business name
DOMINIC DIPIERRO, DPM, LLC
Doing business as
Buckeye Foot and Ankle Specialists
Practice address
572 N Main St
Springboro, OH 45066-9552
Phone
(937) 637-7994
Fax
(937) 736-2347
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Dominic Edward Dipierro, DPM
Title
Owner
Phone
(937) 637-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36003446 OH Primary

Addresses

Primary practice location

572 N Main St
Springboro, OH 45066-9552

Mailing address

PO Box 341689
Beavercreek, OH 45434
Phone (937) 736-2299

Other practice location 1

5538 Philadelphia Dr
Dayton, OH 45415-3062
Phone (937) 637-7994

Other practice location 2

425 W Grand Ave Ste 3002
Dayton, OH 45405-4722
Phone (937) 723-4231

Other names 1

  • Buckeye Foot and Ankle Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

405 W Grand Ave
Ste 3002
Dayton, OH 45405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1730532755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341689",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45434",
            "telephone_number": "937-736-2299",
            "fax_number": "937-736-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669552",
            "telephone_number": "937-637-7994",
            "fax_number": "937-736-2347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5538 Philadelphia Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454153062",
            "country_code": "US",
            "telephone_number": "937-637-7994",
            "fax_number": "937-736-2347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W Grand Ave Ste 3002",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454054722",
            "country_code": "US",
            "telephone_number": "937-723-4231",
            "fax_number": "937-723-4245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOMINIC DIPIERRO, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "DIPIERRO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-637-7994",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.