Individual provider Active NPI

Dale Scott Guinther, APRN; FNP-BC

  • Family Nurse Practitioner
  • Piqua, OH
National Provider Identifier
1851966899
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028754 Issued in OH
Practice address
1 Kettering Way Ste 200
Piqua, OH 45356-4146
Phone
(937) 916-2700
Fax
(937) 916-2704
NPI assigned
May 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028754 OH Primary

Addresses

Primary practice location

1 Kettering Way Ste 200
Piqua, OH 45356-4146

Mailing address

88 Mdos/Sgom 4881 Sugar Maple Drive
Dayton, OH 45433
Phone (937) 257-0857

Other practice location 1

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone (937) 257-0857

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dguinther708959@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707003991 OH Practitioner - Nurse Practitioner 6507246576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

200 Kienle Dr
Piqua, OH 45356-4120
Phone (937) 916-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0028754OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Sep 1, 2022 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince May 18, 2022 Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

200 Kienle Dr
Piqua, OH 45356
Phone (937) 339-5355

1510 Covington Ave
Piqua, OH 45356
Phone (937) 381-8244

1 Kettering Way
Ste 200
Piqua, OH 45356
Phone (937) 916-2700

600 W Main St
Troy, OH 45373
Phone (937) 395-6665

600 W Main St
Ste 330
Troy, OH 45373
Phone (937) 429-7350

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Interoperability endpoints

  • Direct secure messaging: dale.guinther@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1851966899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDOS/SGOM 4881 SUGAR MAPLE DRIVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-0857",
            "fax_number": "937-257-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KETTERING WAY STE 200",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564146",
            "telephone_number": "937-916-2700",
            "fax_number": "937-916-2704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4881 Sugar Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Wright Patterson AFB",
            "state": "OH",
            "postal_code": "454335529",
            "country_code": "US",
            "telephone_number": "937-257-0857",
            "fax_number": "937-257-1819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUINTHER",
        "first_name": "DALE",
        "middle_name": "SCOTT",
        "credential": "APRN; FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dguinther708959@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1 Kettering Way Ste 200",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453564146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1 Kettering Way Ste 200",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453564146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

Verify at the official NPI Registry.