Active NPI
Erin Cane Dettwiller
- Athletic Trainer
- Centerville, OH
National Provider Identifier
1881028785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003655
- Practice address
- 872 Revere Village CT
Centerville, OH 45458-3447 - Phone
- (937) 305-7506
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003655 | OH | Primary |
Addresses
Primary practice location
872 Revere Village CT
Centerville, OH 45458-3447
Mailing address
872 Revere Village CT
Centerville, OH 45458-3447
Phone (937) 305-7506
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 |
|---|---|---|---|
| 003655 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1881028785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 REVERE VILLAGE CT",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454583447",
"telephone_number": "937-305-7506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 REVERE VILLAGE CT",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454583447",
"telephone_number": "937-305-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANE DETTWILLER",
"first_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "003655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
- Madison Cagg
- Jennifer Calfee
- Brooke Eileen Calhoun
- Vincent Dean Cameron, PHARM D
- Tonia S Campbell, PT
- Capstone Health Ohio, LLC (Vital Care of Dayton)
- Terri M Caputo-Jones, CRNP
- Nathaniel Patrick Cardosi, PA-C
- Care Bridge Practitioners of Dayton, LLC (Nurse Practitioner Associates of Ohio)
- Meghan A. Cargill, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.