Active NPI
Dayton Pulmonary and Sleep Medicine
- Sleep Medicine (Internal Medicine) Physician
- Xenia, OH
National Provider Identifier
1770044976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- DAYTON PULMONARY AND SLEEP MEDICINE
- Practice address
- 2249 Annandale PL
Xenia, OH 45385-9121 - Phone
- (937) 534-0155
- Fax
- (937) 534-0166
- NPI assigned
- Mar 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fahim Khan, MD
- Title
- President
- Phone
- (937) 534-0155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | Primary |
Addresses
Primary practice location
2249 Annandale PL
Xenia, OH 45385-9121
Mailing address
2249 Annandale PL
Xenia, OH 45385-9121
Phone (937) 534-0155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0066316 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576022400000",
"number": "1770044976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 ANNANDALE PL",
"city": "XENIA",
"state": "OH",
"postal_code": "453859121",
"telephone_number": "937-534-0155",
"fax_number": "937-534-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 ANNANDALE PL",
"city": "XENIA",
"state": "OH",
"postal_code": "453859121",
"telephone_number": "937-534-0155",
"fax_number": "937-534-0166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYTON PULMONARY AND SLEEP MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-29",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "FAHIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-534-0155",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0066316",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.