Active NPI
Mathew Ryan Dunn, MS, ATC
- Athletic Trainer
- Hickory, NC
National Provider Identifier
1417555236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2276
- Practice address
- 755 5TH St NE
Hickory, NC 28601 - Phone
- (828) 328-7116
- NPI assigned
- Oct 14, 2020
- 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 | 2276 | AL | Primary |
Addresses
Primary practice location
755 5TH St NE
Hickory, NC 28601
Mailing address
1718 8TH Street Dr NE Apt 304
Hickory, NC 28601-2479
Phone (256) 309-8132
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 |
|---|---|---|---|
| 2276 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1417555236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 8TH STREET DR NE APT 304",
"city": "HICKORY",
"state": "NC",
"postal_code": "286012479",
"telephone_number": "256-309-8132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 5TH ST NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "28601",
"telephone_number": "828-328-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "MATHEW",
"middle_name": "RYAN",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.