Provider Demographics
NPI:1790840429
Name:DENGLER, DAVID A (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:DENGLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12231 ACADEMY RD. NE
Mailing Address - Street 2:STE 301, #282
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-7239
Mailing Address - Country:US
Mailing Address - Phone:505-298-7407
Mailing Address - Fax:505-266-2641
Practice Address - Street 1:5305 CAMINO ARBUSTOS NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-6723
Practice Address - Country:US
Practice Address - Phone:505-298-7407
Practice Address - Fax:505-266-2641
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM650111NR0200X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0200XChiropractic ProvidersChiropractorRadiology