Active NPI
Premier Health Specialists Inc
Doing business as Pediatric Cardiology of Dayton
- Pediatric Cardiology Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- PREMIER HEALTH SPECIALISTS INC
- Doing business as
- Pediatric Cardiology of Dayton
- Practice address
- 5450 Far Hills Ave
Suite 124
Kettering, OH 45429-2386 - Phone
- (937) 435-2920
- NPI assigned
- Jan 15, 2009
- Last updated
- Nov 7, 2013
- Organization subpart
- Yes
- Parent organization
- PREMIER HEALTH SPECIALISTS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Danis, MD
- Title
- President/Ceo
- Phone
- (937) 435-4263
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | Primary |
Addresses
Primary practice location
5450 Far Hills Ave
Suite 124
Kettering, OH 45429-2386
Mailing address
5450 Far Hills Ave
Suite 124
Kettering, OH 45429-2386
Phone (937) 435-2920
Other names 1
- Pediatric Cardiology of Dayton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050610000010 | OH | Part B Supplier - Clinic/Group Practice | 5597708594 |
Receives reassigned benefits from 938 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Premier Health Specialist Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery of the Hand (Plastic Surgery) Physician
- Dayton, OH
- NPI 1487658993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383782400000",
"number": "1891932604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FAR HILLS AVE",
"address_2": "SUITE 124",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292386",
"telephone_number": "937-435-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 FAR HILLS AVE",
"address_2": "SUITE 124",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292386",
"telephone_number": "937-435-2920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH SPECIALISTS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
"enumeration_date": "2009-01-15",
"last_updated": "2013-11-07",
"status": "A",
"authorized_official_last_name": "DANIS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "937-435-4263",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatric Cardiology of Dayton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kettering, OH
- Premier Care of Ohio LLC
- Premier Care of Ohio LLC
- Premier Care of Ohio LLC (CMS Kettering (Sud))
- Premier Care of Ohio LLC (CMS Kettering (CMHC))
- Premier Health Specialists Inc (Premier Plastic Surgeons)
- Premier Integrated Medical Assoc LTD (PriMed Physicians)
- Premier Integrated Medical Assoc LTD (PriMed Physicians)
- Premier Integrated Medical Assoc LTD (PriMed Physicians)
- Premier Integrated Medical Assoc LTD (PriMed Physicians)
- Premier Integrated Medical Assoc LTD (PriMed Physicains)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.