Active NPI
Thomas Jason Dodd, MED, LAT, ATC
- Athletic Trainer
- Van, TX
National Provider Identifier
1053025148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6168
- Practice address
- 259 Colorado St
Van, TX 75790-3507 - Phone
- (903) 275-7142
- NPI assigned
- Jan 12, 2023
- Last updated
- Jan 12, 2023
- 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 | AT6168 | TX | Primary |
Addresses
Primary practice location
259 Colorado St
Van, TX 75790-3507
Mailing address
259 Colorado St
Van, TX 75790-3507
Phone (903) 275-7142
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6168 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1053025148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 COLORADO ST",
"city": "VAN",
"state": "TX",
"postal_code": "757903507",
"telephone_number": "903-275-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 COLORADO ST",
"city": "VAN",
"state": "TX",
"postal_code": "757903507",
"telephone_number": "903-275-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "THOMAS",
"middle_name": "JASON",
"credential": "MED, LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van, TX
- Brookshire Grocery Company (Brookshires Pharmacy)
- Benjamin Edward Bunt, DDS
- Jose G Cano Jr., LPC
- Country Inn Healthcare
- Angela Elske McFarland Davis, LPC-ASSOCIATE
- East Texas Medical Center Quitman (ETMC First Physicians Clinic Van)
- Stephanie Renee Garland, MS CCC SLP
- Matthew Grace, D.D.S.
- William Kelly Grizzard
- Health at Home Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.