Individual provider Active NPI

Mallory Warner, DC

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1003785080
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
135260 Issued in IA
Practice address
5701 Utica Ridge Rd Ste 200
Davenport, IA 52807-2914
Phone
(563) 344-8644
Fax
(888) 893-9886
NPI assigned
Oct 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 135260 IA Primary

Addresses

Primary practice location

5701 Utica Ridge Rd Ste 200
Davenport, IA 52807-2914

Mailing address

5701 Utica Ridge Rd Ste 200
Davenport, IA 52807-2914
Phone (563) 344-8644

Other practice location 1

902 5th St
Durant, IA 52747-7820
Phone (563) 785-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416002974 IA Practitioner - Chiropractic 1456827500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melissa Kelling PLLCGroup PAC ID 1850705443, 3 clinicians

Practice addresses (Care Compare)

902 5TH St
Durant, IA 52747-7735
Phone (563) 785-6511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135260IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bettendorf Family Chiropractic Chiropractor CurrentSince Nov 8, 2025 Accepting new patients
Melissa Kelling PLLC Chiropractor PastSince Jan 17, 2021 Accepting new patients
Durant Chiropractic PC Chiropractor Past Accepting new patients

Locations

5701 Utica Ridge Rd
Ste 200
Davenport, IA 52807
Phone (563) 344-8644

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1003785080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 UTICA RIDGE RD STE 200",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072914",
            "telephone_number": "563-344-8644",
            "fax_number": "888-893-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 UTICA RIDGE RD STE 200",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072914",
            "telephone_number": "563-344-8644",
            "fax_number": "888-893-9886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 5th St",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "IA",
            "postal_code": "527477820",
            "country_code": "US",
            "telephone_number": "563-785-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MALLORY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "135260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.