Healthcare Provider Details

I. General information

NPI: 1851707913
Provider Name (Legal Business Name): COMMUNITY MEDICAL SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4031 COLONEL GLENN HWY STE 301
BEAVERCREEK TOWNSHIP OH
45431-2774
US

IV. Provider business mailing address

9145 N. DIXIE DR
DAYTON OH
45414
US

V. Phone/Fax

Practice location:
  • Phone: 937-426-9500
  • Fax: 855-482-2337
Mailing address:
  • Phone: 937-426-9500
  • Fax: 855-482-2337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number36003114
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. BELINDA M CHAN
Title or Position: OWNER
Credential: DPM
Phone: 937-426-9500