Dustin Gayle Tavenner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011196 Issued in IL

Practice address

213 N Stetson Ave
Chicago, IL 60601-7803

Phone

(312) 552-3000

Fax

(312) 552-3001

NPI assigned

Apr 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DGT Chiropractic Services

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1871825604
  NPD (past) Authorized official
• Chiropractic Works of Illinois, LTD.

  • Internist Chiropractor
  • Vernon Hills, IL
  • NPI 1699953745
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1912140385",
    "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": {
        "last_name": "TAVENNER",
        "first_name": "DUSTIN",
        "middle_name": "GAYLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Tavakoli, DO
• Shedeh Tavakoli, PH.D.
• Shayan Tavana, PHARMD
• Ana Marleny Tavarez, APN
• Danielle Renae Tavasti
• Kendymill Taveras, MD
• Alexandra Tavlas, LCPC
• Lyudmila Romanovna Tavolzhanskaya, D.D.S
• Klaer Tawadrous, LPC, CRC
• Mariam Saad Yosef Tawadrous, DMD

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

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