Travis Dibbet, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000815 Issued in IA

Practice address

1200 Grandview Ave
Des Moines, IA 50316-1529

Phone

(515) 263-6045

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1730694100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 TIMBERLINE DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GRANDVIEW AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161529",
            "telephone_number": "515-263-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBET",
        "first_name": "TRAVIS",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "000815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tracy Ann Dickel, ARNP FNP
• Aaron Joseph Dicket, PHARMD

• Athletic Trainer in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.