NPIMap

Organization Active NPI

Champion Chiropractic, LLC

  • Clinic/Center
  • Bettendorf, IA
National Provider Identifier
1063534824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
06804 Issued in IA
Legal business name
CHAMPION CHIROPRACTIC, LLC
Practice address
325 16TH St
Bettendorf, IA 52722-4901
Phone
(563) 823-0386
Fax
(563) 823-0651
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee Douglas McNaughton, DCNPI 1669510863
Title
Owner
Phone
(563) 823-0386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 06804 IA Primary

Addresses

Primary practice location

325 16TH St
Bettendorf, IA 52722-4901

Mailing address

1820 Grant St
PMB 5115
Bettendorf, IA 52722-4927
Phone (563) 823-0386

National Provider Directory

National Provider Directory

Locations

1820 Grant St
Bettendorf, IA 52722

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063534824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 GRANT ST",
            "address_2": "PMB 5115",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224927",
            "telephone_number": "563-823-0386",
            "fax_number": "563-823-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 16TH ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224901",
            "telephone_number": "563-823-0386",
            "fax_number": "563-823-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNAUGHTON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-823-0386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "06804",
            "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 Aug 22, 2020; 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.