OrganizationActive
Independent Provider
NPI 1699178723 · Preferred Provider Organization · Dayton, OH
Independent Provider is a Preferred Provider Organization organization in Dayton, OH (NPI 1699178723).
Provider details
- NPI number
- 1699178723
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- La'Tasha Lee, Independent Provider(979) 451-3843
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
5659 Troy Villa Blvd
Dayton, OH 45424-2645
Phone: (979) 451-3843
Street-level locationGet directions
Mailing address
5659 Troy Villa Blvd
Dayton, OH 45424-2645
Registry dates
- Enumerated
- 2014-10-03
- Last updated
- 2014-10-03
Frequently asked questions
- What is Independent Provider's NPI number?
- Independent Provider's National Provider Identifier (NPI) is 1699178723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independent Provider?
- Independent Provider is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Independent Provider located?
- Independent Provider's practice location on file with NPPES is 5659 Troy Villa Blvd, Dayton, OH 45424-2645.
- What is Independent Provider's phone number?
- The practice phone number listed in the NPPES registry for Independent Provider is (979) 451-3843.
- Who is the authorized official for Independent Provider?
- The authorized official listed on Independent Provider's NPPES record is La'Tasha Lee, Independent Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independent Provider's NPI active?
- Yes — Independent Provider's NPI (1699178723) is active in the NPPES registry as of the last update on 2014-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.