OrganizationActive
Carillon Family Practice Ltd
NPI 1366429342 · Family Medicine Physician · Kettering, OH
Provider details
- NPI number
- 1366429342
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Annette Chavez, Owner/Physician(937) 643-3083
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2501 S Dixie Dr
Kettering, OH 45409-1523
Phone: (937) 643-3083
Fax: (937) 643-3089
Approximate (ZIP-level) locationGet directions
Mailing address
2501 S Dixie Dr
Kettering, OH 45409-1523
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2009-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.