Active NPI
Daniel Conley, MS, LAT, ATC
- Athletic Trainer
- Charlotte, NC
National Provider Identifier
1386165124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2446
- Practice address
- 13981 Dingess Rd
Charlotte, NC 28273-3289 - Phone
- (864) 593-9553
- NPI assigned
- Jul 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1602 | SC | |
| Athletic Trainer | 2255A2300X | 2446 | NC | Primary |
Addresses
Primary practice location
13981 Dingess Rd
Charlotte, NC 28273-3289
Mailing address
13981 Dingess Rd
Charlotte, NC 28273-3289
Phone (864) 593-9553
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2446 | NC | MD | School Psychologist |
| 1602 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386165124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13981 DINGESS RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282733289",
"telephone_number": "864-593-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13981 DINGESS RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282733289",
"telephone_number": "864-593-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "1602",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.