Active NPI
Angela Irwin, DC
- Chiropractor
- Bettendorf, IA
National Provider Identifier
1104581420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 110688
- Practice address
- 2435 Kimberly Rd Ste 60S
Bettendorf, IA 52722-3584 - Phone
- (563) 277-4043
- NPI assigned
- Nov 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 110688 | IA | Primary |
Addresses
Primary practice location
2435 Kimberly Rd Ste 60S
Bettendorf, IA 52722-3584
Mailing address
3511 43Rd St
Moline, IL 61265-5522
Phone (517) 740-1924
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110688 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1104581420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 43RD ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655522",
"telephone_number": "517-740-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 KIMBERLY RD STE 60S",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223584",
"telephone_number": "563-277-4043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2022-07-18",
"certification_date": "2022-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "110688",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2435 Kimberly Rd Ste 60S",
"city": "Bettendorf",
"state": "IA",
"country_code": "US",
"postal_code": "527223584",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bettendorf, IA
- Iowa Dental Health Professionals, P.C.
- Iowa Foot & Ankle Specialists, PLLC
- Iowa Masonic Health Facilities
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Thomas Paul Irwin Jr., DMD
- Lauren Ashley Isaacson, LMHC
- Elizabeth Isbell, P.T.
- Jonathan Ryan Isgrig, OD
- J H Shields MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.