Organization Active NPI

Dayton Ear, Nose & Throat Surgeons, Inc.

  • Otolaryngic Allergy Physician
  • Centerville, OH
National Provider Identifier
1740237452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
Legal business name
DAYTON EAR, NOSE & THROAT SURGEONS, INC.
Practice address
7076 Corporate Way
Centerville, OH 45459-4281
Phone
(937) 434-0555
Fax
(937) 434-7413
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Hayes Boyles Jr., M.D.
Title
President
Phone
(937) 434-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X Primary

Addresses

Primary practice location

7076 Corporate Way
Centerville, OH 45459-4281

Mailing address

7076 Corporate Way
Centerville, OH 45459-4281
Phone (937) 434-0555

Other identifiers 1

IdentifierTypeStateIssuer
0198763MedicaidOH

National Provider Directory

National Provider Directory

Locations

30 E Apple St
Dayton, OH 45409
Phone (937) 208-2004

7076 Corporate Way
Ste 240
Dayton, OH 45459

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740237452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7076 CORPORATE WAY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594281",
            "telephone_number": "937-434-0555",
            "fax_number": "937-434-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7076 CORPORATE WAY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594281",
            "telephone_number": "937-434-0555",
            "fax_number": "937-434-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON EAR, NOSE & THROAT SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-434-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.