Individual provider Active NPI

Connie Chin, MD

  • Pediatrics Physician
  • Huber Heights, OH
National Provider Identifier
1770858870
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.134466 Issued in OH
Practice address
8501 Old Troy Pike
Huber Heights, OH 45424-1054
Phone
(937) 641-4360
Fax
(937) 641-3791
NPI assigned
Mar 21, 2012
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.134466 OH Primary

Addresses

Primary practice location

8501 Old Troy Pike
Huber Heights, OH 45424-1054

Mailing address

PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-3000

Other practice location 1

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Other practice location 2

3301 Dayton Xenia Rd Ste 200
Beavercreek, OH 45432-2759
Phone (937) 641-5098

Other practice location 3

4475 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 641-3141

Other practice location 4

792 Northwoods Blvd
Vandalia, OH 45377-9462
Phone (937) 641-4236

Other practice location 5

6044 Wilmington Pike
Dayton, OH 45459-7006
Phone (937) 641-3270

Other practice location 6

662 N Main St
Springboro, OH 45066-9553
Phone (937) 641-5066

Other practice location 7

3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-5725

Other practice location 8

1711 Germantown Pike
Dayton, OH 45417
Phone (937) 641-3142

Other practice location 9

7787 Cox Ln
West Chester, OH 45069-6549
Phone (937) 641-5757

Other identifiers 1

IdentifierTypeStateIssuer
0319390MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228002489 OH Practitioner - Pediatric Medicine 8224395413 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children's Hospital CurrentSince Feb 15, 2021 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Nov 1, 2021 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Nov 1, 2021 Accepting new patients
Dayton Children's Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3301 Dayton Xenia Rd
Ste 200
Beavercreek, OH 45432
Phone (937) 641-5098

L3982
Columbus, OH 43260

1711 Germantown St
Dayton, OH 45417
Phone (937) 641-3142

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

8501 Old Troy Pike
Ste 120
Huber Heights, OH 45424
Phone (937) 237-4945

8501 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 233-1095

4475 Far Hills Ave
Kettering, OH 45429
Phone (937) 641-3141

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

1005 Bellefontaine Ave
Ste 245
Lima, OH 45804
Phone (419) 998-8230

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

8809 Wilkens Blvd
Mason, OH 45040
Phone (513) 701-6907

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

662 N Main St
Springboro, OH 45066
Phone (937) 641-5066

7787 Cox Ln
West Chester, OH 45069
Phone (513) 644-8081

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1770858870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933421",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241054",
            "telephone_number": "937-641-4360",
            "fax_number": "937-641-3791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Bellefontaine Ave",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042800",
            "country_code": "US",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Dayton Xenia Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322759",
            "country_code": "US",
            "telephone_number": "937-641-5098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4475 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454292405",
            "country_code": "US",
            "telephone_number": "937-641-3141",
            "fax_number": "937-641-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "792 Northwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "453779462",
            "country_code": "US",
            "telephone_number": "937-641-4236",
            "fax_number": "937-641-4237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6044 Wilmington Pike",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454597006",
            "country_code": "US",
            "telephone_number": "937-641-3270",
            "fax_number": "937-641-6108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "662 N Main St",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450669553",
            "country_code": "US",
            "telephone_number": "937-641-5066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 W Tech Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453420955",
            "country_code": "US",
            "telephone_number": "937-641-5725",
            "fax_number": "937-350-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45417",
            "country_code": "US",
            "telephone_number": "937-641-3142",
            "fax_number": "937-641-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7787 Cox Ln",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450696549",
            "country_code": "US",
            "telephone_number": "937-641-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "CONNIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.134466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0319390",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.