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INDEPENDENT PROVIDER
NPI 1699178723
Preferred Provider Organization in Dayton, OH

Active since October 03, 2014
5659 TROY VILLA BLVD, DAYTON, OH 45424(979) 451-3843 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Independent Provider NPPES

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

INDEPENDENT PROVIDER (NPI 1699178723) is a healthcare organization registered as a preferred provider organization in Dayton, Ohio and active in the NPI registry since October 2014. The organization lists La'tasha Denise Lee, Independent Provider, as its authorized official.

NPPES Registry Identity

NPI1699178723
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameINDEPENDENT PROVIDER
Location Address5659 TROY VILLA BLVDDayton, OH 45424-2645
Mailing Address5659 Troy Villa BlvdDayton, OH 45424-2645 · (979) 451-3843
Phone(979) 451-3843
Organization SubpartNo
Authorized OfficialLa'tasha Denise LeeIndependent Provider · (979) 451-3843
Enumeration DateOctober 3, 2014
✔ NPI 1699178723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
5659 TROY VILLA BLVD, Dayton, OH 45424
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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 Independent Provider's NPI number?

The NPI number for Independent Provider is 1699178723. It was assigned to this organization in the NPPES registry on October 3, 2014.

Where is Independent Provider located?

Independent Provider is located at 5659 Troy Villa Blvd, Dayton, OH 45424. The listed phone number is (979) 451-3843.

What is Independent Provider's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Independent Provider was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.