Active NPI
Daniel Thomas Tarara, ATC, LAT
- Athletic Trainer
- High Point, NC
National Provider Identifier
1013035658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0025
- Practice address
- 833 Montlieu Ave
High Point University
High Point, NC 27262-4221 - Phone
- (336) 841-4604
- Fax
- (336) 888-6319
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0025 | NC | Primary |
Addresses
Primary practice location
833 Montlieu Ave
High Point University
High Point, NC 27262-4221
Mailing address
4138 Tarrant Trace Cir
High Point, NC 27265-3616
Phone (336) 299-5451
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0025 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013035658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4138 TARRANT TRACE CIR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272653616",
"telephone_number": "336-299-5451",
"fax_number": "336-888-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 MONTLIEU AVE",
"address_2": "HIGH POINT UNIVERSITY",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624221",
"telephone_number": "336-841-4604",
"fax_number": "336-888-6319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARARA",
"first_name": "DANIEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "0025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.