Individual provider Active NPI

David Whitelock, ATR, ATC

  • Athletic Trainer
  • Highlands Ranch, CO
National Provider Identifier
1790185338
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.0000534 Issued in CO
Practice address
2587 Cove Creek CT
Highlands Ranch, CO 80129-6463
Phone
(303) 807-2137
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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 AT.0000534 CO Primary

Addresses

Primary practice location

2587 Cove Creek CT
Highlands Ranch, CO 80129-6463

Mailing address

2587 Cove Creek CT
Highlands Ranch, CO 80129-6463
Phone (303) 807-2137

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

LicenseStateTypeSpecialty
AT.0000534COMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1790185338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 COVE CREEK CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296463",
            "telephone_number": "303-807-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 COVE CREEK CT",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296463",
            "telephone_number": "303-807-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELOCK",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "ATR, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.