Active NPI
Dustin Oprisiu, CPT
- Athletic Trainer
- Davison, MI
National Provider Identifier
1407496300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- T191454
- Practice address
- 3058 N State Rd Ste E
Davison, MI 48423-3508 - Phone
- (810) 652-6315
- NPI assigned
- Jan 9, 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 | T191454 | MI | Primary |
Addresses
Primary practice location
3058 N State Rd Ste E
Davison, MI 48423-3508
Mailing address
44560 Bayview Ave Apt 26305
Clinton TWP, MI 48038-7355
Phone (248) 821-8433
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 |
|---|---|---|---|
| T191454 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1407496300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44560 BAYVIEW AVE APT 26305",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480387355",
"telephone_number": "248-821-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3058 N STATE RD STE E",
"city": "DAVISON",
"state": "MI",
"postal_code": "484233508",
"telephone_number": "810-652-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPRISIU",
"first_name": "DUSTIN",
"credential": "CPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "T191454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.