Active NPI
Benjamin McNair, ATC
- Athletic Trainer
- Ballwin, MO
National Provider Identifier
1518040898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2001032067
- Practice address
- 476 Applestone Dr
Ballwin, MO 63021-6331 - Phone
- (314) 392-2281
- Fax
- (314) 744-5379
- NPI assigned
- Oct 23, 2006
- 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 | 2001032067 | MO | Primary |
Addresses
Primary practice location
476 Applestone Dr
Ballwin, MO 63021-6331
Mailing address
476 Applestone Dr
Ballwin, MO 63021-6331
Phone (314) 392-2281
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 |
|---|---|---|---|
| 2001032067 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518040898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 APPLESTONE DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630216331",
"telephone_number": "314-392-2281",
"fax_number": "314-744-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 APPLESTONE DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630216331",
"telephone_number": "314-392-2281",
"fax_number": "314-744-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAIR",
"first_name": "BENJAMIN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2001032067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
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.