Individual provider Active NPI

Matthew Paul Dechant

  • Athletic Trainer
  • Emmitsburg, MD
National Provider Identifier
1285137539
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A0001261 Issued in MD
Practice address
16300 Old Emmitsburg Rd
Emmitsburg, MD 21727-7702
Phone
(832) 515-0812
NPI assigned
Mar 13, 2018
Last updated
May 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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 A0001261 MD Primary

Addresses

Primary practice location

16300 Old Emmitsburg Rd
Emmitsburg, MD 21727-7702

Mailing address

242 E Church St Apt 2
Frederick, MD 21701-5495
Phone (832) 515-0812

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
A0001261MDMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1285137539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E CHURCH ST APT 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015495",
            "telephone_number": "832-515-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 OLD EMMITSBURG RD",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "217277702",
            "telephone_number": "832-515-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHANT",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0001261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmitsburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.