Organization Active NPI

Dtox, Inc

  • Clinical Medical Laboratory
  • Davenport, IA
National Provider Identifier
1710402029
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DTOX, INC
Practice address
5515 Utica Ridge Rd Ste 600
Davenport, IA 52807-3927
Phone
(563) 344-1050
Fax
(563) 424-4579
NPI assigned
Aug 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
John Brian Dooley, M.D.
Title
Owner
Phone
(563) 344-1050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 25065 IA
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5515 Utica Ridge Rd Ste 600
Davenport, IA 52807-3927

Mailing address

5515 Utica Ridge Rd Ste 600
Davenport, IA 52807-3927
Phone (563) 344-1050

Other practice location 1

2180 Norcor Ave Ste B
Coralville, IA 52241-9748
Phone (563) 344-1050

Other practice location 2

1340 Mount Pleasant St
Burlington, IA 52601-2623
Phone (563) 344-1050

Other practice location 3

903 Oak St
Burlington, IA 52601-4608
Phone (563) 344-1050

National Provider Directory

National Provider Directory

Locations

903 Oak St
Burlington, IA 52601
Phone (319) 209-2150

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1710402029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 UTICA RIDGE RD STE 600",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073927",
            "telephone_number": "563-344-1050",
            "fax_number": "563-424-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 UTICA RIDGE RD STE 600",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073927",
            "telephone_number": "563-344-1050",
            "fax_number": "563-424-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2180 Norcor Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522419748",
            "country_code": "US",
            "telephone_number": "563-344-1050",
            "fax_number": "563-424-4579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Mount Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "IA",
            "postal_code": "526012623",
            "country_code": "US",
            "telephone_number": "563-344-1050",
            "fax_number": "563-424-4579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 Oak St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "IA",
            "postal_code": "526014608",
            "country_code": "US",
            "telephone_number": "563-344-1050",
            "fax_number": "563-424-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DTOX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-344-1050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IA",
            "license": "25065",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

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