Active NPI
Michael Roy Dunn, D.C.
- Chiropractor
- Bettendorf, IA
National Provider Identifier
1013344134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012509
- Practice address
- 2395 Tech Dr Ste 4
Bettendorf, IA 52722-3277 - Phone
- (563) 265-5235
- Fax
- (563) 888-5449
- NPI assigned
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.012509 | IL | Primary |
Addresses
Primary practice location
2395 Tech Dr Ste 4
Bettendorf, IA 52722-3277
Mailing address
2395 Tech Dr Ste 4
Bettendorf, IA 52722-3277
Phone (563) 265-5235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815124138 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170228002325 | IA | Practitioner - Chiropractic | 4183851116 | Practice locations: Bettendorf, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2395 Tech Dr
Suite 4
Bettendorf, IA 52722-3277
Phone (563) 888-5448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012509 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campion Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
2395 Tech Dr
Ste 4
Bettendorf, IA 52722
Phone (563) 332-9888
Organizations & group practices 1
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.
-
- Chiropractor
- Bettendorf, IA
- NPI 1710450911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1013344134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 TECH DR STE 4",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223277",
"telephone_number": "563-265-5235",
"fax_number": "563-888-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 TECH DR STE 4",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223277",
"telephone_number": "563-265-5235",
"fax_number": "563-888-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "MICHAEL",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-03",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "815124138",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.