NPIMap

Organization Active NPI

DGT Chiropractic Services

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1871825604
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
038011196 Issued in IL
Legal business name
DGT CHIROPRACTIC SERVICES
Practice address
213 N Stetson Ave
Chicago, IL 60601-7803
Phone
(312) 552-3000
Fax
(312) 552-3001
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dustin G Tavenner, D.C.NPI 1912140385
Title
Chiropractic Physician
Phone
(406) 531-1244

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
Primary Care Clinic/Center 261QP2300X 038011196 IL Primary

Addresses

Primary practice location

213 N Stetson Ave
Chicago, IL 60601-7803

Mailing address

213 N Stetson Ave
Chicago, IL 60601-7803
Phone (312) 552-3000

National Provider Directory

National Provider Directory

Locations

213 N Stetson Ave
Chicago, IL 60601
Phone (312) 552-3000

Practitioners & affiliated clinicians

Practitioners 1

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1871825604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N STETSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017803",
            "telephone_number": "312-552-3000",
            "fax_number": "312-552-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N STETSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017803",
            "telephone_number": "312-552-3000",
            "fax_number": "312-552-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DGT CHIROPRACTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "TAVENNER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "406-531-1244",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "038011196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.