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CARILLON FAMILY PRACTICE LTD
NPI 1366429342
Family Medicine in Kettering, OH

Active since December 29, 2005CLIA 36D0984409 · Microscopy
2501 S DIXIE DR, KETTERING, OH 45409(937) 643-3083(937) 643-3089 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carillon Family Practice Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARILLON FAMILY PRACTICE LTD (NPI 1366429342) is a healthcare organization registered as a family medicine in Kettering, Ohio and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through March 20, 2027 and lists Annette M Chavez, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1366429342
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARILLON FAMILY PRACTICE LTD
Location Address2501 S DIXIE DRKettering, OH 45409-1523
Mailing Address2501 S Dixie DrKettering, OH 45409-1523 · (937) 643-3083 · Fax (937) 643-3089
Phone(937) 643-3083
Fax(937) 643-3089
Organization SubpartNo
Authorized OfficialAnnette M ChavezOwner/physician · (937) 643-3083
Enumeration DateDecember 29, 2005
Last NPPES UpdateDecember 17, 2009
✔ NPI 1366429342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2501 S DIXIE DR, Kettering, OH 45409
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Other Identifiers 2

Medicare ID-Type UnspecifiedCA9327811OH · Group Id
Medicaid2328529OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0984409

Carillon Family Practice · Kettering, OH
Active · expires Mar 20, 2027
CLIA Number36D0984409
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorAnnette M. Chavez MD
Laboratory Phone(937) 643-3083
Laboratory LocationCarillon Family Practice2501 South Dixie Drive, Kettering, OH 45409
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN E STEDJE MD
Family Medicine
2501 S DIXIE DR
KETTERING, OH 45409
Montgomery County (937) 643-3083
ANNETTE M CHAVEZ MD
Family Medicine
2501 S DIXIE DR
KETTERING, OH 45409
Montgomery County (937) 643-3083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carillon Family Practice Ltd's NPI number?

The NPI number for Carillon Family Practice Ltd is 1366429342. It was assigned to this organization in the NPPES registry on December 29, 2005.

Where is Carillon Family Practice Ltd located?

Carillon Family Practice Ltd is located at 2501 S Dixie Dr, Kettering, OH 45409. The listed phone number is (937) 643-3083.

What is Carillon Family Practice Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Carillon Family Practice Ltd hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0984409) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carillon Family Practice Ltd accept?

Health plans from CareSource and Molina Healthcare list Carillon Family Practice Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carillon Family Practice Ltd was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.