TANNER MARTINEZ CHIROPRACTIC LLC
NPI 1780944462
Chiropractor in St Augustine, FL

Active since May 29, 2012
2200 N PONCE DE LEON BLVD, SUITE 1, ST AUGUSTINE, FL 32084(904) 819-9110(904) 819-9310 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanner Martinez Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER MARTINEZ CHIROPRACTIC LLC (NPI 1780944462) is a healthcare organization registered as a chiropractor in St Augustine, Florida and active in the NPI registry since May 2012. The organization lists Dustin James Tanner, Doctor, as its authorized official.

NPPES Registry Identity

NPI1780944462
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTANNER MARTINEZ CHIROPRACTIC LLC
Location Address2200 N PONCE DE LEON BLVD, SUITE 1St Augustine, FL 32084-2600
Mailing Address2200 N Ponce De Leon Blvd, Suite 1St Augustine, FL 32084-2600 · (904) 819-9110 · Fax (904) 819-9310
Fax(904) 819-9310
Organization SubpartNo
Authorized OfficialDustin James TannerDoctor · (904) 819-9110
Enumeration DateMay 29, 2012
NPI 1780944462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH10578
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · Independent Medical ExaminerTaxonomy 111NI0013X · License CH10578 (FL)
2200 N PONCE DE LEON BLVD, St Augustine, FL 32084

Other Identifiers 1

Medicare UPINJ300052763DFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2200 N PONCE DE LEON BLVD, SUITE 12
ST AUGUSTINE, FL 32084
Clinic/Center
2200 N PONCE DE LEON BLVD, SUITE 7
ST AUGUSTINE, FL 32084
Social Worker (Clinical)
2200 N PONCE DE LEON BLVD, STE. 4
ST AUGUSTINE, FL 32084
Counselor (Mental Health)
2200 N PONCE DE LEON BLVD, SUITE 3
ST AUGUSTINE, FL 32084
Counselor (Mental Health)
2200 N PONCE DE LEON BLVD, 3 AND 4
SAINT AUGUSTINE, FL 32084
Massage Therapist
2200 N PONCE DE LEON BLVD, SUITE 5
SAINT AUGUSTINE, FL 32084
Massage Therapist
2200 N PONCE DE LEON BLVD
ST AUGUSTINE, FL 32084
Chiropractor
2200 N PONCE DE LEON BLVD, SUITE #1
ST AUGUSTINE, FL 32084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Martinez Chiropractic LLC's NPI number?

The NPI number for Tanner Martinez Chiropractic LLC is 1780944462. It was assigned to this organization in the NPPES registry on May 29, 2012.

Where is Tanner Martinez Chiropractic LLC located?

Tanner Martinez Chiropractic LLC is located at 2200 N Ponce De Leon Blvd Suite 1, St Augustine, FL 32084. The listed phone number is (904) 819-9110.

What is Tanner Martinez Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Tanner Martinez Chiropractic LLC was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.