Organization Active NPI

James a Corsiglia DCPC

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1164405205
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05392 Issued in IA
Legal business name
JAMES A CORSIGLIA DCPC
Doing business as
Village Chiropractic
Practice address
2224 E 12TH St
Davenport, IA 52803-3961
Phone
(563) 322-1110
Fax
(563) 322-0017
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Mr. James Andrew Corsiglia
Title
Owner
Phone
(563) 322-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05392 IA Primary

Addresses

Primary practice location

2224 E 12TH St
Davenport, IA 52803-3961

Mailing address

2224 E 12TH St
Davenport, IA 52803-3961
Phone (563) 322-1110

Other identifiers 1

IdentifierTypeStateIssuer
26949OtherIABCBS PPO

Other names 1

  • Village Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2020 E 11th St
Davenport, IA 52803
Phone (563) 322-1110

2224 E 12th St
Davenport, IA 52803
Phone (563) 322-1110

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1164405205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 E 12TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033961",
            "telephone_number": "563-322-1110",
            "fax_number": "563-322-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 E 12TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033961",
            "telephone_number": "563-322-1110",
            "fax_number": "563-322-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A CORSIGLIA DCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "CORSIGLIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-322-1110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO",
            "identifier": "26949",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2013; 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.