Dennis Anthony Vicidomini, A.T.,C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT001392A Issued in PA

Practice address

1905 Split Rock Rd
Lancaster, PA 17601-6421

Phone

(717) 898-5515

NPI assigned

Aug 15, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1003195595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SPLIT ROCK RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016421",
            "telephone_number": "717-898-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SPLIT ROCK RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016421",
            "telephone_number": "717-898-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICIDOMINI",
        "first_name": "DENNIS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT001392A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Carla Vera Nunez, DMD
• Sandi B. Verbin, MD
• Verdant Health LLC
• Julia Katherine Veser, LCSW
• Frank Patrick Vespi, PA-C
• Carissa Vietti, MSW, LBS
• Christine Vigna, MA
• Rosa Villaman
• Vincent P Votilla DMD PC
• Michael Caranay Viray, MD

• Athletic Trainer in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.