Organization Active NPI

Dcdrs Enterprises, Inc.

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1710173976
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007712 Issued in MI
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

Updated by the provider on May 15, 2013

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.NPI 1437283751
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
950A800220OtherMIBCBS GROUP PIN
0N88070OtherMIMEDICARE GROUP #
N88070001OtherMIMEDICARE INDIVIDUAL ID #
1710173976OtherMIGROUP NPI

Other names 1

  • Dr. Dave's Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.