Active NPI
Dcdrs Enterprises, Inc.
- Chiropractor
- Traverse City, MI
National Provider Identifier
1710173976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007712
- Legal business name
- DCDRS ENTERPRISES, INC.
- Doing business as
- Dr. Dave's Chiropractic
- Practice address
- 201 E 17TH St
Traverse City, MI 49684-4173 - Phone
- (989) 400-2090
- NPI assigned
- Sep 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Allen Haataja, D.C.
- Title
- President/Chiropractor
- Phone
- (989) 400-2090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007712 | MI | Primary |
Addresses
Primary practice location
201 E 17TH St
Traverse City, MI 49684-4173
Mailing address
PO Box 603
Traverse City, MI 49685-0603
Phone (989) 400-2090
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950A800220 | Other | MI | BCBS GROUP PIN |
| 0N88070 | Other | MI | MEDICARE GROUP # |
| N88070001 | Other | MI | MEDICARE INDIVIDUAL ID # |
| 1710173976 | Other | MI | GROUP NPI |
Other names 1
- Dr. Dave's Chiropractic
National Provider Directory
National Provider DirectoryLocations
830 E Front St
Ste 204
Traverse City, MI 49686
Phone (989) 400-2090
201 E Seventeenth St
Traverse City, MI 49684
Phone (231) 943-1611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Traverse City, MI
- NPI 1437283751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1710173976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496850603",
"telephone_number": "989-400-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 17TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844173",
"telephone_number": "989-400-2090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DCDRS ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "HAATAJA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
"authorized_official_telephone_number": "989-400-2090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PIN",
"identifier": "950A800220",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "0N88070",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL ID #",
"identifier": "N88070001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1710173976",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Dave's Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.