Active NPI
King-Jeffrey Danso
- Athletic Trainer
- Marlborough, MA
National Provider Identifier
1205444213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 56 Framingham Rd
Marlborough, MA 01752-3260 - Phone
- (978) 382-1545
- Fax
- (508) 481-6680
- NPI assigned
- Jul 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | MA | Primary |
Addresses
Primary practice location
56 Framingham Rd
Marlborough, MA 01752-3260
Mailing address
56 Framingham Rd
Marlborough, MA 01752-3260
Phone (978) 382-1545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN980817178 | Other | MA | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1205444213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 FRAMINGHAM RD",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523260",
"telephone_number": "978-382-1545",
"fax_number": "508-481-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRAMINGHAM RD",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523260",
"telephone_number": "978-382-1545",
"fax_number": "508-481-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANSO",
"first_name": "KING-JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "MTN980817178",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.