Dennis Carl Fyke, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0649 Issued in TX

Practice address

4606 Mustang Ave
Rosenberg, TX 77471-2121

Phone

(832) 223-3160

Fax

(832) 223-3001

NPI assigned

Jun 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144260845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22335 FIELDCREST LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695645",
            "telephone_number": "281-239-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 MUSTANG AVE",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712121",
            "telephone_number": "832-223-3160",
            "fax_number": "832-223-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYKE",
        "first_name": "DENNIS",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT0649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Athletic Trainer in Texas

• 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.