NPIMap

Organization Active NPI

Montgomery County Courthouse Dba Public Health - Dayton & Montgomery C

  • Public Health or Welfare Agency
  • Dayton, OH
National Provider Identifier
1922327147
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
LH27095065 Issued in OH
Legal business name
MONTGOMERY COUNTY COURTHOUSE DBA PUBLIC HEALTH - DAYTON & MONTGOMERY C
Practice address
1323 W 3Rd St RM 509
1St Contact - Jennifer Boyd
Dayton, OH 45402-6714
Phone
(937) 225-5878
Fax
(937) 496-3078
NPI assigned
May 27, 2010
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTY COURTHOUSE DBA PUBLIC HEALTH - DAYTON & MONTGOMERY CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Mr. James W. Gross, MPH
Title
Health Commissioner
Phone
(937) 225-4395

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X LH27095065 OH Primary
Public Health or Welfare Agency 251K00000X 2083P0901X OH
Public Health or Welfare Agency 251K00000X 005826 OH

Addresses

Primary practice location

1323 W 3Rd St RM 509
1St Contact - Jennifer Boyd
Dayton, OH 45402-6714

Mailing address

117 South Main St.
Room 209, Attn: Deborah Peterson
Dayton, OH 45422-1280
Phone (937) 496-3344

Other identifiers 1

IdentifierTypeStateIssuer
005826OtherAMERICAN DIABETES ASSOCIATION

Other names 1

  • Public Health - Dayton & Montgomery County Other name

National Provider Directory

National Provider Directory
Tax ID family
Montgomery County Board of Developmental Disabilities6 organizations share this tax ID, including this one
Part of
Montgomery County Board of Developmental Disabilities

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1323 W 3rd St
Rm 509
Dayton, OH 45402
Phone (937) 225-4542

117 S Main St
Rm 209
Dayton, OH 45422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1922327147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SOUTH MAIN ST.",
            "address_2": "ROOM 209, ATTN: DEBORAH PETERSON",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454221280",
            "telephone_number": "937-496-3344",
            "fax_number": "937-496-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST RM 509",
            "address_2": "1ST CONTACT - JENNIFER BOYD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-225-5878",
            "fax_number": "937-496-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY COURTHOUSE DBA PUBLIC HEALTH - DAYTON & MONTGOMERY C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY COUNTY COURTHOUSE DBA PUBLIC HEALTH - DAYTON & MONTGOMERY C",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "937-225-4395",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "LH27095065",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "2083P0901X",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "005826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DIABETES ASSOCIATION",
            "identifier": "005826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health - Dayton & Montgomery County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.