Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dustin James Tanner, DC

Individual provider Chiropractor · NPI 1790012201

Dr. Dustin James Tanner, DC is a Chiropractor in St Augustine, Florida. Licensed in Florida and New York. Registered with an NPI since 2009.

Licensed in
FL, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2200 N Ponce De Leon Blvd Ste #1
St Augustine, FL 32084-2600
Phone: (904) 819-9110
Fax: (904) 819-9310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH 10578 (FL)
Chiropractor Taxonomy 111N00000X · Licence X012022-1 (NY)

Record details

NPI number1790012201
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedNovember 5, 2009
Last updated in NPPESMay 29, 2012

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