Individual provider Active NPI

Caroline Dent, MAT, LAT, ATC

  • Athletic Trainer
  • Northport, AL
National Provider Identifier
1043958648
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2782 Issued in AL
Practice address
92 McFarland Blvd
Northport, AL 35476-3348
Phone
(205) 344-9161
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2782 AL Primary

Addresses

Primary practice location

92 McFarland Blvd
Northport, AL 35476-3348

Mailing address

6323 Woodland Forrest Dr
Tuscaloosa, AL 35405-5672
Phone (205) 765-2028

Other practice location 1

1160 Navarro Avenue
Montgomery, AL 36106
Phone (334) 833-4433

Other practice location 2

1500 East Fairview Avenue
Montgomery, AL 36106
Phone (334) 833-4433

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ATGenius

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

LicenseStateTypeSpecialty
2782ALMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1043958648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 WOODLAND FORREST DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354055672",
            "telephone_number": "205-765-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763348",
            "telephone_number": "205-344-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Navarro Avenue",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "36106",
            "country_code": "US",
            "telephone_number": "334-833-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 East Fairview Avenue",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "36106",
            "country_code": "US",
            "telephone_number": "334-833-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENT",
        "first_name": "CAROLINE",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ATGenius",
            "affiliation": "N",
            "address_1": "92 McFarland Blvd",
            "city": "Northport",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354763348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.