Dale Tidaback, MD, MPH
NPI 1710963772 · Aerospace Medicine Physician · Wright Patterson Afb, OH
Dale Tidaback, MD, MPH is a Aerospace Medicine Physician provider in Wright Patterson Afb, OH (NPI 1710963772).
Provider details
- NPI number
- 1710963772
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1559 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2014-12-02
Frequently asked questions
- What is Dale Tidaback's NPI number?
- Dale Tidaback's National Provider Identifier (NPI) is 1710963772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dale Tidaback's specialty?
- Dale Tidaback is listed in the NPPES registry with a primary specialty of Aerospace Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dale Tidaback located?
- Dale Tidaback's practice location on file with NPPES is 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529.
- What is Dale Tidaback's phone number?
- The practice phone number listed in the NPPES registry for Dale Tidaback is (703) 994-8148.
- Is Dale Tidaback's NPI active?
- Yes — Dale Tidaback's NPI (1710963772) is active in the NPPES registry as of the last update on 2014-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.