Tanner Martinez Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10578 Issued in FL

Legal business name

TANNER MARTINEZ CHIROPRACTIC LLC

Practice address

2200 N Ponce de Leon Blvd
Suite 1
St Augustine, FL 32084-2600

Phone

(904) 819-9110

Fax

(904) 819-9310

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dustin James Tanner

Title

Doctor

Phone

(904) 819-9110

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1780944462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N PONCE DE LEON BLVD",
            "address_2": "SUITE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842600",
            "telephone_number": "904-819-9110",
            "fax_number": "904-819-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N PONCE DE LEON BLVD",
            "address_2": "SUITE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842600",
            "telephone_number": "904-819-9110",
            "fax_number": "904-819-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER MARTINEZ CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-819-9110",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10578",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH10578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Taliaferro, M.D.
• Talk of the Town Speech Therapy LLC
• Talk of the Town Speech Therapy LLC
• James A Tammaro, MD
• Tanda Care, LLC
• Dustin James Tanner, D.C.
• Lara Tant, MA, R-DMT, RMHCI
• Edward Tanza Jr., DC
• Sarina Tarantino
• Gregory Tarantola, DDS

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.