Individual provider Active NPI

Richard Alan Fail, ATC

  • Athletic Trainer
  • Dublin, OH
National Provider Identifier
1255543229
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT00040 Issued in OH
Practice address
8300 Hyland Croy Rd
Dublin, OH 43016-7016
Phone
(614) 718-8282
Fax
(614) 873-7342
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT00040 OH Primary

Addresses

Primary practice location

8300 Hyland Croy Rd
Dublin, OH 43016-7016

Mailing address

2727 Courtney PL
Lewis Center, OH 43035-8987
Phone (740) 549-1049

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
AT00040OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1255543229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 COURTNEY PL",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358987",
            "telephone_number": "740-549-1049",
            "fax_number": "614-873-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HYLAND CROY RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167016",
            "telephone_number": "614-718-8282",
            "fax_number": "614-873-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIL",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT00040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.