Organization Active NPI

John M Dale D C LLC

  • Chiropractor
  • Midland Park, NJ
National Provider Identifier
1720253594
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC0002093 Issued in NJ
Legal business name
JOHN M DALE D C LLC
Practice address
666 Godwin Ave
Suite 110
Midland Park, NJ 07432-1463
Phone
(201) 444-3004
Fax
(201) 444-6021
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. John M. Dale, DCNPI 1215079322
Title
Owner
Phone
(201) 444-3004

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 MC0002093 NJ Primary

Addresses

Primary practice location

666 Godwin Ave
Suite 110
Midland Park, NJ 07432-1463

Mailing address

666 Godwin Ave
Suite 110
Midland Park, NJ 07432-1463
Phone (201) 444-3004

National Provider Directory

National Provider Directory

Locations

666 Godwin Ave
Ste 110
Midland Park, NJ 07432
Phone (201) 444-3004

Practitioners & affiliated clinicians

Practitioners 2

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1720253594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 GODWIN AVE",
            "address_2": "SUITE 110",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321463",
            "telephone_number": "201-444-3004",
            "fax_number": "201-444-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GODWIN AVE",
            "address_2": "SUITE 110",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321463",
            "telephone_number": "201-444-3004",
            "fax_number": "201-444-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M DALE D C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-444-3004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC0002093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.