DAYTON CHILDREN'S SPECIALTY PHYSICIANS INC. NPI 1225192610

NPI Information

  • NPI: 1225192610
  • Provider Name: DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 36D2262668
  • Address: 1 CHILDRENS PLZ
    DAYTON, OH
    ZIP 45404
  • Phone: (937) 641-4000

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NPI Details

DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC. is a pediatrics in Dayton, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC. NPI is 1225192610. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 CHILDRENS PLZ
DAYTON, OH
ZIP 45404-815
Phone: (937) 641-4000
Fax: (937) 641-4500

The provider's authorized official is Chris Bergman .
The authorized official title is C.f.o. and has the following contact phone number (937) 641-3338.

The CLIA number assigned to this NPI record is 36D2262668 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 10/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsNo
2367500000XNurse Anesthetist, Certified RegisteredNo
31223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
4364SP0200XClinical Nurse SpecialistPediatricsNo
5207PP0204XEmergency MedicinePediatric Emergency MedicineNo
6152WP0200XOptometristPediatricsNo
7208M00000XHospitalistNo
8363L00000XNurse PractitionerNo
9363A00000XPhysician AssistantNo
10207W00000XOphthalmologyNo
11207ZP0213XPathologyPediatric PathologyNo
12208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H557370OTHERMEDICARE
20888633MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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