Individual provider Active NPI

Alexis James Arguello, D.C.

  • Chiropractor
  • Moline, IL
National Provider Identifier
1124312707
Registry record updated Jun 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011810 Issued in IL
Practice address
1909 52ND Ave
Moline, IL 61265-6381
Phone
(563) 210-4803
NPI assigned
Jun 1, 2011
Last updated
Jun 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011810 IL Primary

Addresses

Primary practice location

1909 52ND Ave
Moline, IL 61265-6381

Mailing address

1909 52ND Ave
Moline, IL 61265-6381
Phone (563) 210-4803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110808000750 IL Practitioner - Chiropractic 0143499111 Reassigns benefits to 1 organization
Practice locations: Moline, IL
I20220422002448 IA Practitioner - Chiropractic 0143499111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great River Family WellnessGroup PAC ID 8325374010, 3 clinicians

Practice addresses (Care Compare)

1130 E Kimberly Rd
Great River Chiropra
Davenport, IA 52807-1710
Phone (563) 210-4803

1909 52ND Ave
Moline, IL 61265-6381
Phone (309) 764-3613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007396IAMDSocial Worker
038011810ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Great River Family Chiropractic Chiropractor CurrentSince Jun 14, 2011 Accepting new patients

Locations

1909 52nd Ave
Moline, IL 61265
Phone (309) 764-3613

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307232000000",
    "number": "1124312707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 52ND AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656381",
            "telephone_number": "563-210-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 52ND AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656381",
            "telephone_number": "563-210-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUELLO",
        "first_name": "ALEXIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.