NPIMap

Individual provider Active NPI

David Enos, ATC, LA, COHC

  • Athletic Trainer
  • Auburn, ME
National Provider Identifier
1437574076
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT462 Issued in ME
Practice address
30 Belgrade Ave
Ste a
Auburn, ME 04210-4095
Phone
(207) 783-0018
Fax
(207) 783-0019
NPI assigned
Feb 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT462 ME Primary

Addresses

Primary practice location

30 Belgrade Ave
Ste a
Auburn, ME 04210-4095

Mailing address

30 Belgrade Ave
Ste a
Auburn, ME 04210-4095
Phone (207) 783-0018

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

LicenseStateTypeSpecialty
AT462MEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Dba Central Maine Conditioning Clinic Past Accepting new patients
Central Maine Conditioning Clinic, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1437574076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELGRADE AVE",
            "address_2": "STE A",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104095",
            "telephone_number": "207-783-0018",
            "fax_number": "207-783-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELGRADE AVE",
            "address_2": "STE A",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104095",
            "telephone_number": "207-783-0018",
            "fax_number": "207-783-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOS",
        "first_name": "DAVID",
        "credential": "ATC, LA, COHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.