Active NPI
Dane Robert Dorsten, ATC LAT
- Athletic Trainer
- Phoenix, AZ
National Provider Identifier
1437663754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0944
- Practice address
- 444 W Osborn Rd Ste 303
Phoenix, AZ 85013-3820 - Phone
- (602) 279-8022
- Fax
- (602) 279-8029
- NPI assigned
- Nov 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0944 | AZ | Primary |
Addresses
Primary practice location
444 W Osborn Rd Ste 303
Phoenix, AZ 85013-3820
Mailing address
444 W Osborn Rd Ste 303
Phoenix, AZ 85013-3820
Phone (602) 279-8022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0944 | Other | AZ | ARIZONA BOARD OF ATHLETIC TRAINING |
| 60802411 | Other | BOARD OF CERTIFICATION (ATHLETIC TRAINING( |
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 |
|---|---|---|---|
| 0944 | AZ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strength Training Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1437663754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 W OSBORN RD STE 303",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133820",
"telephone_number": "602-279-8022",
"fax_number": "602-279-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 W OSBORN RD STE 303",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133820",
"telephone_number": "602-279-8022",
"fax_number": "602-279-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSTEN",
"first_name": "DANE",
"middle_name": "ROBERT",
"credential": "ATC LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF ATHLETIC TRAINING",
"identifier": "0944",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION (ATHLETIC TRAINING(",
"identifier": "60802411",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.