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DR. DUSTIN JAMES TANNER D.C.
NPI 1790012201
Chiropractor in St Augustine, FL

Active since November 05, 2009
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 Dr. Dustin James Tanner D.c. NPPES

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

DR. DUSTIN JAMES TANNER D.C. (NPI 1790012201) is an individual chiropractor in St Augustine, Florida, licensed in Florida (CH 10578) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1790012201
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DUSTIN JAMES TANNERCredential: D.C.
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 · (315) 224-4042 · Fax (904) 819-9310
Phone(904) 819-9110
Fax(904) 819-9310
Sole ProprietorNo
Enumeration DateNovember 5, 2009
Last NPPES UpdateMay 29, 2012
✔ NPI 1790012201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in FL · CH 10578✔ Licensed in NY · X012022-1
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.
2200 N PONCE DE LEON BLVD, St Augustine, FL 32084
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Other Identifiers 1

Medicare UPINJ300052763DFL

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.

MISS JENNIFER E JACOBSEN LMT
Specialist
2200 N PONCE DE LEON BLVD, SUITE 12
ST AUGUSTINE, FL 32084
St. Johns County (904) 392-6588
HIGH POWER DIAGNOSIS
Clinic/Center
2200 N PONCE DE LEON BLVD, SUITE 7
ST AUGUSTINE, FL 32084
St. Johns County (904) 580-6120
MS. PAULA JO SULLIVAN LCSW
Social Worker (Clinical)
2200 N PONCE DE LEON BLVD, STE. 4
ST AUGUSTINE, FL 32084
St. Johns County (904) 806-6905
MS. NICOLLE M BAUER LMHC
Counselor (Mental Health)
2200 N PONCE DE LEON BLVD, SUITE 3
ST AUGUSTINE, FL 32084
St. Johns County (904) 501-8270
JANET WISEMAN LMHC
Counselor (Mental Health)
2200 N PONCE DE LEON BLVD, 3 AND 4
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 806-4060
MELISSA LIVIA DEVLIN JOHNSON LMT
Massage Therapist
2200 N PONCE DE LEON BLVD, SUITE 5
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 377-5343
MR. CHRISTOPHER CHASE MISSO LMT
Massage Therapist
2200 N PONCE DE LEON BLVD
ST AUGUSTINE, FL 32084
St. Johns County (904) 349-1188
TANNER MARTINEZ CHIROPRACTIC LLC
Chiropractor
2200 N PONCE DE LEON BLVD, SUITE 1
ST AUGUSTINE, FL 32084
St. Johns County (904) 819-9110

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 Dustin Tanner's NPI number?

The NPI number for Dustin Tanner is 1790012201. It was assigned to this individual provider in the NPPES registry on November 5, 2009.

Where is Dustin Tanner located?

Dustin Tanner practices at 2200 N Ponce De Leon Blvd Suite #1, St Augustine, FL 32084. The listed phone number is (904) 819-9110.

What is Dustin Tanner'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 Dustin Tanner 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.