Zak Dennis, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000030127 Issued in PA

Practice address

542 Sable
Rancho Santa Margarita, CA 92688-5577

Phone

(814) 694-8111

NPI assigned

Oct 14, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1942020953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 SABLE",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885577",
            "telephone_number": "814-694-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 SABLE",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885577",
            "telephone_number": "814-694-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "ZAK",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "2000030127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Dawson, D.C.
• Paul Day
• Deep Medical Clinic, Inc
• Carla S Defraine, PD.D.
• Antoinette Delvalle, D.O.
• Alexa Lynn Desilva, PA-C
• Peter S Desilva, MD
• Kendra Devor, PSY.D.
• Fatema Zahra Dewji, PHYSICIAN ASSISTANT
• Brittany Nicole Deyhle, PT, DPT

• Athletic Trainer in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.