NPIMap

Organization Active NPI

Kav Health Group LLC

  • Primary Care Clinic/Center
  • Dayton, OH
National Provider Identifier
1952094401
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KAV HEALTH GROUP LLC
Practice address
5563 Far Hills Ave
Dayton, OH 45429-2225
Phone
(937) 291-2300
Fax
(937) 291-2303
NPI assigned
May 31, 2023
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KAV HEALTH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Vince Denittis
Title
Owner
Phone
(513) 815-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

5563 Far Hills Ave
Dayton, OH 45429-2225

Mailing address

5563 Far Hills Ave
Dayton, OH 45429-2225
Phone (937) 291-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231003002051 OH Part B Supplier - Clinic/Group Practice 2466806864 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dayton, OH; Blue Ash, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kav Health Group LLC3 organizations share this tax ID, including this one
Part of
Kav Health Group LLC

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1952094401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292225",
            "telephone_number": "937-291-2300",
            "fax_number": "937-291-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292225",
            "telephone_number": "937-291-2300",
            "fax_number": "937-291-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAV HEALTH GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAV HEALTH GROUP LLC",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "DENITTIS",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-815-3005"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 28, 2024; 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.

Verify at the official NPI Registry.