Kyle Dolan, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1628 Issued in SC

Practice address

2 Medical Park Rd Ste 104
Columbia, SC 29203-6839

Phone

(803) 434-6812

Fax

(803) 434-7306

NPI assigned

Mar 4, 2016

Last updated

Mar 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1417317348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CATAWBA CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292015252",
            "telephone_number": "978-697-4943",
            "fax_number": "803-509-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036839",
            "telephone_number": "803-434-6812",
            "fax_number": "803-434-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "KYLE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1628",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "2000015215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC LICENSURE",
            "identifier": "2000015215",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC STATE CERTIFICATION",
            "identifier": "1628",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctors Care, PA
• Doctors Care, PA (Doctors Care Shandon)
• Doctors Care, PA
• Ben Dodsworth
• Angelika Irene Dohmeyer, RT
• Elexus Dole, RBT
• Karen Dolezal
• Alaura Dollar
• Dollarson S Den Counseling & Consulting
• Clarence Joseph Dollison Jr., MD

• Athletic Trainer in Columbia, SC
• Providers in Columbia, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.