Daniel Juergens, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35038872J Issued in OH

Practice address

89 Sylvania Dr
Dayton, OH 45440-3281

Phone

(937) 320-2020

Fax

(937) 320-0504

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Dayton Eye Surgery Center L L C

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
  • NPI 1235285628
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1801815303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403281",
            "telephone_number": "937-320-2020",
            "fax_number": "937-320-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403281",
            "telephone_number": "937-320-2020",
            "fax_number": "937-320-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUERGENS",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35038872J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000005856",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362932",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801815303",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEATHCARE",
            "identifier": "0820025",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180009207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Journey Recovery Services, LLC
• Journeys of Hope Youth Services, Inc.
• Aco Jovanov, MD
• Joy Homes LLC
• Kimbra Joyce, DO
• Samuel Juergens
• Polsha Jules, DO
• Julia I Lucente MD Inc
• Mykaela Jumper, RN
• Alexander Jung

• Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.