Provider Demographics
NPI:1487658993
Name:DANIS, CHRISTOPHER JOHN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:DANIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 MIAMI VALLEY DR
Mailing Address - Street 2:STE 310
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4778
Mailing Address - Country:US
Mailing Address - Phone:937-435-4263
Mailing Address - Fax:937-298-9459
Practice Address - Street 1:2350 MIAMI VALLEY DR
Practice Address - Street 2:STE 310
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4778
Practice Address - Country:US
Practice Address - Phone:937-435-4263
Practice Address - Fax:937-298-9459
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350500762082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000013684OtherANTHEM
OHD50076OtherCHOICE CARE
OH0703313Medicaid
OH09-01338OtherUNITED HEALTHCARE
OH09-01338OtherUNITED HEALTHCARE
OHDA0615112Medicare ID - Type Unspecified
OHD34026Medicare UPIN