Active NPI
Dtox, Inc
- Clinical Medical Laboratory
- Davenport, IA
National Provider Identifier
1710402029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 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 DirectoryLocations
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.