DAN F BAUTISTA MD LLC NPI 1295953933

NPI Information

  • NPI: 1295953933
  • Provider Name: DAN F BAUTISTA MD LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1840 COMMERCE CENTER BLVD
    FAIRBORN, OH
    ZIP 45324
  • Phone: (937) 754-4580

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NPI Details

DAN F BAUTISTA MD LLC is a family medicine in Fairborn, OH. The provider is 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. DAN F BAUTISTA MD LLC NPI is 1295953933. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1840 COMMERCE CENTER BLVD
FAIRBORN, OH
ZIP 45324-337
Phone: (937) 754-4580
Fax: (937) 754-4575

The provider's authorized official is Dan Bautista .
The authorized official title is Owner and has the following contact phone number (937) 754-4580.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 9/20/2023.

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
1207Q00000XFamily Medicine35073682BOHIOYes

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
12080233MEDICAIDOHIO
22871969MEDICAIDOHIO

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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