Individual provider Active NPI

Daniel John Bulls, ATC

  • Athletic Trainer
  • Paris, TX
National Provider Identifier
1861911638
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT2329 Issued in TX
Practice address
1675 NE Loop 286
Paris, TX 75460-2219
Phone
(903) 782-9922
NPI assigned
Sep 13, 2017
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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 AT2329 TX Primary

Addresses

Primary practice location

1675 NE Loop 286
Paris, TX 75460-2219

Mailing address

3315 Lamar Ave Apt 134
Paris, TX 75460-5062
Phone (903) 737-7684

Other identifiers 1

IdentifierTypeStateIssuer
13178060MedicaidTX

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
AT2329TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Xzact Therapy and Aquatics LLC PastSince Apr 1, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1861911638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 LAMAR AVE APT 134",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605062",
            "telephone_number": "903-737-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602219",
            "telephone_number": "903-782-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLS",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13178060",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.