Active NPI
Mary Elizabeth Frost, DC
- Chiropractor
- Rock Island, IL
National Provider Identifier
1073565834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5696
- Practice address
- 2201 11TH St
Rock Island, IL 61201-4234 - Phone
- (309) 786-2663
- Fax
- (309) 786-8688
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5696 | AZ | Primary |
| Chiropractor | 111N00000X | 006987 | IA | |
| Chiropractor | 111N00000X | 038.010998 | IL |
Addresses
Primary practice location
2201 11TH St
Rock Island, IL 61201-4234
Mailing address
1000 Brady St
Davenport, IA 52803-5214
Phone (563) 884-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0942560 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006987 | IA | MD | Chiropractor |
| 038.010998 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer College Foundation | Chiropractor | Past | Accepting new patients |
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
- Davenport, IA
- NPI 1174535181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1073565834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BRADY ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035214",
"telephone_number": "563-884-5000",
"fax_number": "563-884-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 11TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612014234",
"telephone_number": "309-786-2663",
"fax_number": "309-786-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5696",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "006987",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.010998",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0942560",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.