Dominic Dutton, LAT, ATC, EMT, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1314 Issued in NE

Practice address

1400 R St
Lincoln, NE 68588-0007

Phone

(330) 469-4772

NPI assigned

Aug 7, 2026

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

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1154245561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 SW 4TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685239112",
            "telephone_number": "330-469-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 R ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880007",
            "telephone_number": "330-469-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC, EMT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal M Duryea, PTA
• Emma J. Duryea, MS, OTR/L
• Tracy Dusek
• Marcus Andrew Dustin
• Hailey Dutra, PLMHP
• Madison Grace Dutton
• Chad Duval, MD
• Jonathan Duval
• Brianna Lea Dvorak
• Dwight Brown Counseling

• Athletic Trainer in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Athletic Trainer in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.