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Dayton Pain Center LLC

Clinic/Center, Pain in Dayton, OH. Organization (NPI-2).

NPI number1790730638
StatusActive
Last updated in NPPESApr 27, 2026

Details

NPI
1790730638
Entity type
Organization (NPI-2)
Legal business name
Dayton Pain Center LLC
Organization subpart
No
Enumeration date
May 22, 2006
Certification date
Apr 27, 2026
Last updated
Apr 27, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP3300X Clinic/Center, Pain–OHYes

Practice location

1 Elizabeth Pl
Ste#d
Dayton, OH 45417

Phone 937-222-2233 · Fax 937-222-9665

Mailing address

1 Elizabeth Pl
Ste#d
Dayton, OH 45417-3445

Phone 937-222-2233 · Fax 937-222-9665

Authorized official

Bhimavarapu Krishna Reddy
Medical Director
9372222233

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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