Active NPI
Dale Lane Gaulding
- Massage Therapist
- Atlanta, GA
National Provider Identifier
1568931798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT003113
- Practice address
- 3161 Howell Mill Rd NW Ste 400
Atlanta, GA 30327-2117 - Phone
- (404) 478-2399
- NPI assigned
- Nov 16, 2018
- Last updated
- Nov 16, 2018
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT003113 | GA | Primary |
Addresses
Primary practice location
3161 Howell Mill Rd NW Ste 400
Atlanta, GA 30327-2117
Mailing address
1010 W Peachtree St NW Apt 642
Atlanta, GA 30309-4784
Phone (256) 283-6770
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 |
|---|---|---|---|
| MT003113 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1568931798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W PEACHTREE ST NW APT 642",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094784",
"telephone_number": "256-283-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3161 HOWELL MILL RD NW STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272117",
"telephone_number": "404-478-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAULDING",
"first_name": "DALE",
"middle_name": "LANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT003113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.