Dr. Dustin James Tanner, D.C.
Dr. Dustin James Tanner is a Chiropractor provider (Chiropractor) practicing in St Augustine, FL, registered in the NPPES registry with NPI 1790012201 since 2009. The credential DC stands for Doctor of Chiropractic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790012201 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Dustin James Tanner |
| Credential | D.C. |
| Sex | Male |
| Practice address | 2200 N PONCE DE LEON BLVD, SUITE #1, St Augustine, FL, 32084 |
| Phone | 9048199110 |
| Fax | 9048199310 |
| Enumeration date | 2009-11-05 |
| Last updated in NPPES | 2012-05-29 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | CH 10578 | FL |
| 111N00000X | Chiropractor | Secondary | X012022-1 | NY |
DC — Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential
Copy-ready billing details
Provider: Dustin Tanner, D.C. NPI: 1790012201 Taxonomy: 111N00000X (Chiropractor) Address: 2200 N PONCE DE LEON BLVD, SUITE #1, St Augustine, FL, 32084
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1588642987 | Nicolle Bauer | Individual | Mental Health Counselor | St Augustine, FL |
| 1538121488 | Paula Sullivan | Individual | Clinical Social Worker | St Augustine, FL |
| 1154587624 | Jennifer Jacobsen | Individual | Specialist | St Augustine, FL |
| 1588897995 | Janet Wiseman | Individual | Mental Health Counselor | Saint Augustine, FL |
| 1588945372 | Melissa Johnson | Individual | Massage Therapist | Saint Augustine, FL |
| 1780944462 | Tanner Martinez Chiropractic LLC | Organization | Chiropractor | St Augustine, FL |
| 1780923623 | Christopher Misso | Individual | Massage Therapist | St Augustine, FL |
| 1982140307 | Nicolle M Bauer Lmhc | Organization | Mental Health Counselor | St Augustine, FL |
Verify this record
Cross-check NPI 1790012201 against the authoritative CMS record: view Dr. Dustin James Tanner on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-05-29.