Active NPI
Michael S Eden Jr., MS, LAT, ATC
- Athletic Trainer
- Salisbury, NC
National Provider Identifier
1548653496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0499
- Practice address
- 2300 W Innes St
Salisbury, NC 28144-2441 - Phone
- (704) 637-4780
- NPI assigned
- Mar 16, 2015
- Last updated
- Mar 16, 2015
- 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 | 0499 | NC | Primary |
Addresses
Primary practice location
2300 W Innes St
Salisbury, NC 28144-2441
Mailing address
201 S Deerfield Cir
Salisbury, NC 28147-7784
Phone (704) 224-4955
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 |
|---|---|---|---|
| 0499 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1548653496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S DEERFIELD CIR",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281477784",
"telephone_number": "704-224-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W INNES ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442441",
"telephone_number": "704-637-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDEN",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "0499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
- Philip Anthony Eaton, MD
- Ec Opco Salisbury LP (Elmcroft of Salisbury)
- Eckerd Corporation (Rite Aid Pharmacy 11462)
- Sharrie K Ecton, CRNA
- Deborah Ann Edelman, D.O.
- Holly Ann Edison, PHARMD
- Nina Stafford Edison, R.N.
- Ali Earnhardt Edwards, LCSW-A
- Dean Mark Anthony Edwards, D.P.T.
- Rebecca F Edwards, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.