Active NPI
James Aaron Dash
- Athletic Trainer
- Bloomington, IN
National Provider Identifier
1497398028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1419 W Allen St
Bloomington, IN 47403-2930 - Phone
- (317) 331-0966
- NPI assigned
- Oct 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | IN | Primary |
Addresses
Primary practice location
1419 W Allen St
Bloomington, IN 47403-2930
Mailing address
1419 W Allen St
Bloomington, IN 47403-2930
Phone (317) 331-0966
Other practice location 1
1419 W Allen St
Bloomington, IN 47403-2930
Phone (317) 331-0966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14193938 | Other | IN | ATHLETICS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | idontknow@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572134400000",
"number": "1497398028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 W ALLEN ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032930",
"telephone_number": "317-331-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 W ALLEN ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032930",
"telephone_number": "317-331-0966"
}
],
"practiceLocations": [
{
"address_1": "1419 W Allen St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474032930",
"country_code": "US",
"telephone_number": "317-331-0966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DASH",
"first_name": "JAMES",
"middle_name": "AARON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-27",
"last_updated": "2019-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETICS",
"identifier": "14193938",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "idontknow@gmail.com",
"affiliation": "N",
"endpointDescription": "?",
"address_1": "1419 W Allen St",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474032930",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.