CARILLON FAMILY PRACTICE LTD NPI 1366429342

NPI Information

  • NPI: 1366429342
  • Provider Name: CARILLON FAMILY PRACTICE LTD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 36D0984409
  • Address: 2501 S DIXIE DR
    KETTERING, OH
    ZIP 45409
  • Phone: (937) 643-3083

Map and Directions

Get Directions

NPI Details

CARILLON FAMILY PRACTICE LTD is a family medicine in Kettering, 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. CARILLON FAMILY PRACTICE LTD NPI is 1366429342. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 S DIXIE DR
KETTERING, OH
ZIP 45409-523
Phone: (937) 643-3083
Fax: (937) 643-3089

The provider's authorized official is Annette M Chavez .
The authorized official title is Owner/physician and has the following contact phone number (937) 643-3083.

The CLIA number assigned to this NPI record is 36D0984409 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/29/2005 and was last updated on 12/17/2009.

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 MedicineYes

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
1CA9327811MEDICARE ID-TYPE UNSPECIFIEDOHIOGROUP ID
22328529MEDICAIDOHIO

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI