Active NPI
Phillip M Dawson, ATC
- Athletic Trainer
- Spokane, WA
National Provider Identifier
1376984047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A160230553
- Practice address
- 505 E 3Rd Ave
Spokane, WA 99202-1426 - Phone
- (509) 499-9367
- NPI assigned
- Jul 10, 2013
- Sex
- Male
- Sole proprietor
- No
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 | A160230553 | WA | Primary |
Addresses
Primary practice location
505 E 3Rd Ave
Spokane, WA 99202-1426
Mailing address
PO Box 3649
400 East 5TH Ave
Spokane, WA 99220-3649
Phone (509) 838-2531
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
| License | State | Type | Specialty |
|---|---|---|---|
| A160230553 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1376984047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3649",
"address_2": "400 EAST 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203649",
"telephone_number": "509-838-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E 3RD AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021426",
"telephone_number": "509-499-9367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "PHILLIP",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A160230553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.