Active NPI
Al Green
- Athletic Trainer
- Newton, KS
National Provider Identifier
1538126420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-00131
- Practice address
- 215 S Pine St
Suite 201
Newton, KS 67114-3765 - Phone
- (316) 283-9977
- Fax
- (316) 283-0966
- NPI assigned
- Apr 26, 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 | 24-00131 | KS | Primary |
Addresses
Primary practice location
215 S Pine St
Suite 201
Newton, KS 67114-3765
Mailing address
800 Medical Center Drive
Suite 240
Newton, KS 67114-3765
Phone (316) 283-9977
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 |
|---|---|---|---|
| 24-00131 | KS | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axtell Orthopedics PA | 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.
-
- Specialist
- Newton, KS
- NPI 1669475539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1538126420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DRIVE",
"address_2": "SUITE 240",
"city": "NEWTON",
"state": "KS",
"postal_code": "671143765",
"telephone_number": "316-283-9977",
"fax_number": "316-283-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S PINE ST",
"address_2": "SUITE 201",
"city": "NEWTON",
"state": "KS",
"postal_code": "671143765",
"telephone_number": "316-283-9977",
"fax_number": "316-283-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "AL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-00131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.