ANDREW MICHAEL BACON MS, AT, ATC
NPI 1801219548
Specialist in Dayton, OH

Q: What is Andrew Bacon's NPI number?

The NPI number for Andrew Bacon is 1801219548. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Q: What is Andrew Bacon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Bacon was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2014

300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101, DAYTON, OH 45469(951) 541-4697(937) 229-5448 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2022, Dec 13, 2021, Oct 5, 2018 (3 updates tracked since 2018).

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About Andrew Michael Bacon Ms, At, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW MICHAEL BACON MS, AT, ATC (NPI 1801219548) is an individual specialist in Dayton, Ohio, licensed in Ohio (004263) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1801219548

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameANDREW MICHAEL BACONCredential: MS, AT, ATC

Location Address300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101Dayton, OH 45469-0001

Mailing Address300 College Park Cronin Athletic Center Room 101Dayton, OH 45469-0001 · (951) 541-4697 · Fax (937) 229-5448

Phone(951) 541-4697

Fax(937) 229-5448

Sole ProprietorNo

Enumeration DateJanuary 31, 2014

Last NPPES UpdateJanuary 5, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2022

✔ NPI 1801219548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OH · 004263

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101, Dayton, OH 45469

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Other Identifiers 1

Other2000007147National Athletic Trainers' Association Board Of Certifiaction

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Bacon's NPI number?

The NPI number for Andrew Bacon is 1801219548. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Where is Andrew Bacon located?

Andrew Bacon practices at 300 College Park Cronin Athletic Center Room 101, Dayton, OH 45469. The listed phone number is (951) 541-4697.

What is Andrew Bacon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Andrew Bacon was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.