DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.
Complete NPI Record 1780467555
Pediatrics in Dayton, OH
Active since August 16, 2023
Complete NPI Dataset
This page contains the complete raw NPPES record for Dayton Children's Specialty Physicians, Inc. (NPI 1780467555), a pediatrics organization in Dayton, OH. All 30 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1780467555 Field 1/30
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/30
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/30
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC. Field 4/30
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 933432 Field 5/30
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CLEVELAND Field 6/30
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OH Field 7/30
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 441930039 Field 8/30
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/30
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9376415072 Field 10/30
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 9376416129 Field 11/30
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 1 CHILDRENS PLZ Field 12/30
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: DAYTON Field 13/30
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: OH Field 14/30
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 454041815 Field 15/30
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/30
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9376414000 Field 17/30
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9376414500 Field 18/30
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: KEHL Field 21/30
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ANGELA Field 22/30
- The first name of the authorized official.
- Authorized Official Middle Name: L Field 23/30
- The middle name of the authorized official.
- Authorized Official Title or Position: MANAGER PAYER ENROLLMENT Field 24/30
- The title or position of the authorized official.
- Authorized Official Telephone Number: 9376415072 Field 25/30
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 208000000X Field 26/30
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 27/30
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 28/30
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 29/30
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 11
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
8501 Old Troy Pike Ste 120
Location 1/11Huber Heights, OH 45424-1061 · Phone (937) 237-4945 · Fax (937) 237-4925
1152 W 3rd St Ste 102
Location 2/11Dayton, OH 45402-6848 · Phone (937) 268-3483 · Fax (937) 268-1884
3333 W Tech Rd Ste 120
Location 3/11Miamisburg, OH 45342-0956 · Phone (937) 748-6116 · Fax (937) 291-6956
200 Rockridge Rd Ste 110
Location 4/11Englewood, OH 45322-2751 · Phone (937) 836-9921 · Fax (937) 836-1298
6551 Centerville Business Pkwy Ste 110
Location 5/11Centerville, OH 45459-2696 · Phone (937) 291-6850 · Fax (937) 291-6896
1425 N Fairfield Rd Ste 120
Location 6/11Beavercreek, OH 45432-2674 · Phone (937) 320-3888 · Fax (937) 320-3848
5501 Far Hills Ave
Location 7/11Dayton, OH 45429-2203 · Phone (937) 436-2866 · Fax (937) 436-1468
915 Michigan St Ste 220
Location 8/11Sidney, OH 45365-2401 · Phone (937) 498-4880 · Fax (937) 494-5295
3333 W Tech Rd Ste 220
Location 9/11Miamisburg, OH 45342-0956 · Phone (937) 885-4475 · Fax (937) 885-3670
9000 N Main St Ste 332
Location 10/11Englewood, OH 45415-1185 · Phone (937) 832-7337 · Fax (937) 832-4817
1425 N Fairfield Rd Ste 130
Location 11/11Beavercreek, OH 45432-2674 · Phone (937) 320-1950 · Fax (937) 320-9332
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