Individual provider Active NPI

Dustin Doren, DPT

  • Physical Therapist
  • Davison, MI
National Provider Identifier
1740684232
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016869 Issued in MI
Practice address
1410 Pondview Dr
Davison, MI 48423
Phone
(517) 292-9848
NPI assigned
Oct 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016869 MI Primary

Addresses

Primary practice location

1410 Pondview Dr
Davison, MI 48423

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

10860 Highland Rd
Hartland, MI 48353-2629
Phone (810) 632-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016869MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC Physical Therapist CurrentSince Aug 27, 2019 Accepting new patients
Tempo Physiotherapay LLC Current Accepting new patients

Locations

1235 S Center Rd
Burton, MI 48509
Phone (800) 977-4378

1032 S Linden Rd
Flint, MI 48532
Phone (810) 733-3833

1032 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-3833

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1740684232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 PONDVIEW DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "48423",
            "telephone_number": "517-292-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10860 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Hartland",
            "state": "MI",
            "postal_code": "483532629",
            "country_code": "US",
            "telephone_number": "810-632-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOREN",
        "first_name": "DUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.