Individual provider Active NPI

Kim N. Dang, ATC

  • Athletic Trainer
  • Baltimore, MD
National Provider Identifier
1699210229
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
7 Whitelaw PL Apt TB
Baltimore, MD 21236
Phone
(407) 453-2595
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X FL Primary

Addresses

Primary practice location

7 Whitelaw PL Apt TB
Baltimore, MD 21236

Mailing address

7 Whitelaw PL Apt TB
Baltimore, MD 21236-7517
Phone (407) 453-2595

Other practice location 1

3921 SW 34th St Apt 305
Gainesville, FL 32608-6592
Phone (407) 453-2595

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1699210229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WHITELAW PL APT TB",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212367517",
            "telephone_number": "407-453-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WHITELAW PL APT TB",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "407-453-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3921 SW 34th St Apt 305",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326086592",
            "country_code": "US",
            "telephone_number": "407-453-2595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "KIM",
        "middle_name": "N.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.