Organization Active NPI

Dayton Radiology Associates Inc

Doing business as Dayton Open MRI

  • Diagnostic Radiology Physician
  • Centerville, OH
National Provider Identifier
1861485278
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DAYTON RADIOLOGY ASSOCIATES INC
Doing business as
Dayton Open MRI
Practice address
2591 Miamisburg Centerville Rd
Centerville, OH 45459-3711
Phone
(888) 440-6494
Fax
(330) 759-1501
NPI assigned
Aug 31, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DAYTON RADIOLOGY ASSOICATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David L Bloom, MD
Title
President
Phone
(973) 707-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OH Primary

Addresses

Primary practice location

2591 Miamisburg Centerville Rd
Centerville, OH 45459-3711

Mailing address

1430 Spring Hill Rd
Suite 500
MC Lean, VA 22102-3000
Phone (703) 287-4189

Other identifiers 1

IdentifierTypeStateIssuer
46084MedicaidOH

Other names 1

  • Dayton Open MRI Doing business as

National Provider Directory

National Provider Directory
Part of
Dayton Radiology Associates Inc

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861485278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SPRING HILL RD",
            "address_2": "SUITE 500",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023000",
            "telephone_number": "703-287-4189",
            "fax_number": "703-448-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593711",
            "telephone_number": "888-440-6494",
            "fax_number": "330-759-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON RADIOLOGY ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAYTON RADIOLOGY ASSOICATES INC",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-707-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46084",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.