4TH T PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06505 Issued in IA

Legal business name

4TH T PLLC

Doing business as

Advance Care Chiropractic

Practice address

3904 Lillie Ave
Ste 1
Davenport, IA 52806-4422

Phone

(563) 445-2273

Fax

(563) 445-2273

NPI assigned

Mar 22, 2011

Organization subpart

No

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

Authorized official

Name

Torry James Slawson, DCNPI 1770575359

Title

President

Phone

(563) 445-2273

Specialties & licenses 1

Addresses

Other names 1

• Advance Care Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Torry J Slawson, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1770575359
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1013216654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 LILLIE AVE",
            "address_2": "STE 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064422",
            "telephone_number": "563-445-2273",
            "fax_number": "563-445-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 LILLIE AVE",
            "address_2": "STE 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064422",
            "telephone_number": "563-445-2273",
            "fax_number": "563-445-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4TH T PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "SLAWSON",
        "authorized_official_first_name": "TORRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-445-2273",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.