Active NPI
Adam Joseph Deimling, MED, ATC, LAT
- Athletic Trainer
- Deland, FL
National Provider Identifier
1891007324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL2723
- Practice address
- 141 E Pennsylvania Ave
Deland, FL 32724-3510 - Phone
- (386) 822-8122
- NPI assigned
- Jul 13, 2010
- Sex
- Male
- Sole proprietor
- No
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 | AL2723 | FL | Primary |
Addresses
Primary practice location
141 E Pennsylvania Ave
Deland, FL 32724-3510
Mailing address
421 N Woodland Blvd
Unit 8317
Deland, FL 32723-0001
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL2723 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1891007324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N WOODLAND BLVD",
"address_2": "UNIT 8317",
"city": "DELAND",
"state": "FL",
"postal_code": "327230001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E PENNSYLVANIA AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327243510",
"telephone_number": "386-822-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIMLING",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MED, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL2723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
- Craig Steven Dean, D.O.
- Deep Sleep Dental Solutions, LLC
- Deerfoot Manor Alf
- Elendea Rose Degaetano, RMFTI, RMHCI
- Barry Richard Degraff, DDS
- Pamela L Deimund, LMT
- Kimberlee C Del Campo
- Deland Anesthesiology Group Inc
- Deland Athens Opco LLC (Deland Athens Post Acute)
- Deland Blue Lake Opco LLC (Deland Blue Lake Post Acute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.