Tanner P Dean, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007378 Issued in PA

Practice address

1600 Elk Ave
Pottsville, PA 17901-2133

Phone

(570) 621-2900

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1144826728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TURNPIKE RD",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179219030",
            "telephone_number": "570-985-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ELK AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012133",
            "telephone_number": "570-621-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 American Pkwy NE",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181099117",
            "country_code": "US",
            "telephone_number": "484-526-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "TANNER",
        "middle_name": "P",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tiger Text",
            "address_1": "26 Turnpike Rd",
            "city": "Ashland",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179219030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patti Ann Dasilva, CRNP
• John Daubert, DO
• Vincent G Dauchess, D.D.S.
• Sandy Day
• Jennifer Dayson
• Stephen J Debuski, D.M.D.
• Michael T Degilio
• Dustin David Deibert, DPT
• Katherine Deibert
• Sandra Jean Delay, MASSAGE THERAPIST

• Athletic Trainer in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.