Active NPI
Michael Victor Dias, ATC/ LAT
- Athletic Trainer
- Trumbull, CT
National Provider Identifier
1881100634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001008
- Practice address
- 888 White Plains Rd
Trumbull, CT 06611-4552 - Phone
- (203) 459-1133
- NPI assigned
- Dec 15, 2017
- Last updated
- Dec 15, 2017
- Sex
- Male
- 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 | 001008 | CT | Primary |
Addresses
Primary practice location
888 White Plains Rd
Trumbull, CT 06611-4552
Mailing address
479 Woodside Ave
Bridgeport, CT 06606-2245
Phone (914) 417-1864
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 |
|---|---|---|---|
| 001008 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1881100634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 WOODSIDE AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062245",
"telephone_number": "914-417-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 WHITE PLAINS RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114552",
"telephone_number": "203-459-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAS",
"first_name": "MICHAEL",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "ATC/ LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-15",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "001008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.