Individual provider Active NPI

Roxanne M Dingman, ATC, OPA-C, SA-C

  • Athletic Trainer
  • Spartanburg, SC
National Provider Identifier
1124203492
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
561 Issued in SC
Practice address
303 E Wood St
Spartanburg, SC 29303-3020
Phone
(864) 560-4567
Fax
(864) 560-4568
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 13-618
Orthopedic Assistant 246ZX2200X 1052
Athletic Trainer 2255A2300X 561 SC Primary

Addresses

Primary practice location

303 E Wood St
Spartanburg, SC 29303-3020

Mailing address

303 E Wood St
Spartanburg, SC 29303-3020
Phone (864) 560-4567

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
561SCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1124203492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033020",
            "telephone_number": "864-560-4567",
            "fax_number": "864-560-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033020",
            "telephone_number": "864-560-4567",
            "fax_number": "864-560-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGMAN",
        "first_name": "ROXANNE",
        "middle_name": "M",
        "credential": "ATC, OPA-C, SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "13-618",
            "primary": false
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": "1052",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.