Dietz Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011485 Issued in IL

Legal business name

DIETZ CHIROPRACTIC LLC

Practice address

703 11TH Avenue B CT
#6
Silvis, IL 61282-1614

Phone

(309) 948-9897

NPI assigned

Oct 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Dietz, D.C.

Title

Chiropractor

Phone

(309) 948-9897

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Rebecca S. Morgan, PHD

  • Clinical Psychologist
  • Moline, IL
  • NPI 1306929690
  NPD (past)
• Eileen Marie Wayne, MD

  • Ophthalmology Physician
  • Moline, IL
  • NPI 1194715953
  NPD (past)
• Derek Grimmell, PHD

  • Clinical Psychologist
  • Hutchinson, KS
  • NPI 1952414138
  NPD (past)
• Ann K O'Klock, LCSW

  • Clinical Social Worker
  • Davenport, IA
  • NPI 1588657316
  NPD (past)

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256947200000",
    "number": "1013243757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 11TH AVENUE B CT",
            "address_2": "#6",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821614",
            "telephone_number": "309-948-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 11TH AVENUE B CT",
            "address_2": "#6",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821614",
            "telephone_number": "309-948-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETZ CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-31",
        "last_updated": "2009-10-31",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "309-948-9897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Danna, M.D.
• John C Dannenfeldt, MD
• Lisa Ann Davis, MD
• Cory Anton Debuhr, PHARM D
• Ashley Kay Dietsch
• Paul Joseph Dimaggio, MD
• Dr. Dionisio Degracia MD SC
• Rachel L Ehlert, PT
• Renee Elmer, CNP
• Rachael Kathleen Evans-Krack, OTR/L

• All providers in Silvis, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.