Individual provider Active NPI

Dalton Tolliver, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1689130023
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13205 Issued in FL
Practice address
1563 Alford PL Ste 5
Jacksonville, FL 32207-3349
Phone
(904) 582-5200
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13205 FL Primary

Addresses

Primary practice location

1563 Alford PL Ste 5
Jacksonville, FL 32207-3349

Mailing address

1563 Alford PL Ste 5
Jacksonville, FL 32207-3349
Phone (904) 582-5200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13205FLMDChiropractor
3147TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Bridges Chiropractic Chiropractor CurrentSince Dec 1, 2020 Accepting new patients
Sajh Group LLC Chiropractor PastSince Apr 28, 2024 Accepting new patients
Miller Chiropractic Clinic PA Chiropractor PastSince May 10, 2013 Accepting new patients

Locations

1563 Alford Pl
Ste 5
Jacksonville, FL 32207
Phone (904) 582-5200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1689130023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 ALFORD PL STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073349",
            "telephone_number": "904-582-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 ALFORD PL STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073349",
            "telephone_number": "904-582-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "DALTON",
        "name_prefix": "Miss",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.