Organization Active NPI

Quad City Chiropractic Group

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1124154984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04554 Issued in IA
Legal business name
QUAD CITY CHIROPRACTIC GROUP
Practice address
3904 Lillie Ave
Suite #6
Davenport, IA 52806-4422
Phone
(563) 386-8585
Fax
(563) 386-8869
NPI assigned
Feb 26, 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. Wayne Henry Zemelka, D.C.
Title
President
Phone
(563) 386-8585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 04554 IA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 06363 IA

Addresses

Primary practice location

3904 Lillie Ave
Suite #6
Davenport, IA 52806-4422

Mailing address

3904 Lillie Ave
Suite #6
Davenport, IA 52806-4422
Phone (563) 386-8585

Other identifiers 1

IdentifierTypeStateIssuer
0444828MedicaidIA

National Provider Directory

National Provider Directory

Locations

3904 Lillie Ave
Ste 6
Davenport, IA 52806
Phone (563) 386-8585

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124154984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 LILLIE AVE",
            "address_2": "SUITE #6",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064422",
            "telephone_number": "563-386-8585",
            "fax_number": "563-386-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 LILLIE AVE",
            "address_2": "SUITE #6",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064422",
            "telephone_number": "563-386-8585",
            "fax_number": "563-386-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZEMELKA",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-386-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04554",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444828",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, 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.