Individual provider Active NPI

David Allen Gable, ATC, LAT, CSCS

  • Athletic Trainer
  • Fort Worth, TX
National Provider Identifier
1053435479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT3085 Issued in TX
Practice address
3500 Bellaire Dr N
Fort Worth, TX 76129-0001
Phone
(817) 343-1384
Fax
(817) 257-7323
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AT3085 TX Primary

Addresses

Primary practice location

3500 Bellaire Dr N
Fort Worth, TX 76129-0001

Mailing address

3008 Bald Eagle Court
Lakeside, TX 76135
Phone (817) 257-7984

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
AT3085TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053435479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 BALD EAGLE COURT",
            "city": "LAKESIDE",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-257-7984",
            "fax_number": "817-257-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BELLAIRE DR N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761290001",
            "telephone_number": "817-343-1384",
            "fax_number": "817-257-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABLE",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

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.

Verify at the official NPI Registry.