Dublin Active Spine & Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DUBLIN ACTIVE SPINE & REHAB LLC

Practice address

6075 Glick Rd
Powell, OH 43065-8390

Phone

(614) 766-2424

Fax

(740) 522-6308

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Michael Gustafson, DC

Title

Owner

Phone

(614) 766-2424

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1609428986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 GLICK RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658390",
            "telephone_number": "614-766-2424",
            "fax_number": "740-522-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 GLICK RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658390",
            "telephone_number": "614-766-2424",
            "fax_number": "740-522-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN ACTIVE SPINE & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-766-2424",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Donnelly, MD, PHD
• Jane Rielly Dooley, C 0701091
• Patrick Huntley Dorian, PHARMD, R,PH
• Ruth I Downing, C.N.P.
• Dr. D. Michael Dopkiss and Assoc. Inc.
• James Robert Duncan, MD
• Monica Dunn, MSW, LISW, CCDC III.
• Shara Lyn Dutko, COTA/L
• Macaira Dyment, D.P.M.
• Chad Eagy, D.C.

• Chiropractor in Powell, OH
• Providers in Powell, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.