Organization Active NPI

Uncommon Chiropractic

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1043768310
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
081460 Issued in IA
Legal business name
UNCOMMON CHIROPRACTIC
Practice address
2415 18TH St Ste 107
Bettendorf, IA 52722-3281
Phone
(309) 236-7776
NPI assigned
Sep 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Dr. Kyle Alan Dirck, D.C.
Title
Chiropractor
Phone
(309) 236-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 081460 IA Primary

Addresses

Primary practice location

2415 18TH St Ste 107
Bettendorf, IA 52722-3281

Mailing address

2415 18TH St Ste 107
Bettendorf, IA 52722-3281
Phone (309) 236-7776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1043768310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 18TH ST STE 107",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223281",
            "telephone_number": "309-236-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 18TH ST STE 107",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223281",
            "telephone_number": "309-236-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCOMMON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "DIRCK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "309-236-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "081460",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2016; 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.