Active NPI
Robert Dyson
- Athletic Trainer
- Phoenix, AZ
National Provider Identifier
1003422882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0288
- Practice address
- 18401 N 32ND St
Phoenix, AZ 85032-1210 - Phone
- (602) 787-7167
- NPI assigned
- Sep 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0288 | AZ | Primary |
Addresses
Primary practice location
18401 N 32ND St
Phoenix, AZ 85032-1210
Mailing address
4901 E Kelton LN Unit 1026
Scottsdale, AZ 85254-1003
Phone (480) 861-6855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1003422882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 E KELTON LN UNIT 1026",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541003",
"telephone_number": "480-861-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18401 N 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850321210",
"telephone_number": "602-787-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYSON",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.