Active NPI
Joel J. Dering, MS, ATC, LAT
- Athletic Trainer
- Lawton, OK
National Provider Identifier
1457455909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-38
- Practice address
- 2800 W Gore Blvd
Lawton, OK 73505-6320 - Phone
- (580) 581-2400
- NPI assigned
- Sep 12, 2006
- 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 | AT-38 | OK | Primary |
Addresses
Primary practice location
2800 W Gore Blvd
Lawton, OK 73505-6320
Mailing address
6681 NW Shroyer Rd
Lawton, OK 73507-5961
Phone (580) 512-7712
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 |
|---|---|---|---|
| AT-38 | OK | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457455909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6681 NW SHROYER RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735075961",
"telephone_number": "580-512-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056320",
"telephone_number": "580-581-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERING",
"first_name": "JOEL",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "AT-38",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.