Active NPI
Dennis Earl Spain Jr., CPT, LSN
- Athletic Trainer
- Dallas, TX
National Provider Identifier
1477918571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2728293
- Practice address
- 400 N Saint Paul St
#310
Dallas, TX 75201-3114 - Phone
- (214) 205-8915
- Fax
- (469) 904-2740
- NPI assigned
- Dec 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 2728294 | TX | |
| Athletic Trainer | 2255A2300X | 2728293 | TX | Primary |
Addresses
Primary practice location
400 N Saint Paul St
#310
Dallas, TX 75201-3114
Mailing address
400 N Saint Paul St
#310
Dallas, TX 75201-3114
Phone (214) 205-8915
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 |
|---|---|---|---|
| 2728294 | TX | MD | Nutrition Education Nutritionist |
| 2728293 | TX | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spain International Fitness Training | Past | Accepting new patients | |
| Spain International Fitness Training, LLC | 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.
-
- Chiropractor
- Dallas, TX
- NPI 1215287701
-
- Chiropractor
- Dallas, TX
- NPI 1093180507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1477918571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N SAINT PAUL ST",
"address_2": "#310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013114",
"telephone_number": "214-205-8915",
"fax_number": "469-904-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N SAINT PAUL ST",
"address_2": "#310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013114",
"telephone_number": "214-205-8915",
"fax_number": "469-904-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "DENNIS",
"middle_name": "EARL",
"name_suffix": "Jr.",
"credential": "CPT, LSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "TX",
"license": "2728294",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "2728293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Joanna Spahis, RN, CNS, APNG
- Julie W. Spaight, M.S., CCC-SLP
- Spain International Fitness Training
- Spain International Fitness Training, LLC
- Cortney Diane Spain, SP
- Kristin Nicole Spain, FNP-BC
- Michael Chase Spain, MMFT, LPCS, LMFTS
- Thomas L Spain Jr., MD
- Susan H. Spalding, MD
- Ann Elizabeth Spangler, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.