Organization Active NPI

Anthony B Dexter a Professional Corporation

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1164956371
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
074741 Issued in IA
Legal business name
ANTHONY B DEXTER A PROFESSIONAL CORPORATION
Practice address
2178 E Kimberly Rd Ste 400
Davenport, IA 52807-2230
Phone
(563) 396-4697
NPI assigned
Apr 13, 2017
Last updated
Oct 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Anthony B. Dexter, DCNPI 1447651518
Title
President
Phone
(563) 396-4697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 074741 IA Primary

Addresses

Primary practice location

2178 E Kimberly Rd Ste 400
Davenport, IA 52807-2230

Mailing address

25139 252ND Ave
Princeton, IA 52768-9721
Phone (701) 570-5648

Other identifiers 1

IdentifierTypeStateIssuer
074741OtherIADC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Davenport

National Provider Directory

National Provider Directory

Locations

2178 E Kimberly Rd
Ste 400
Davenport, IA 52807
Phone (563) 396-4697

4811 N Brady St
Ste 1A
Davenport, IA 52806
Phone (563) 386-8308

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1164956371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25139 252ND AVE",
            "city": "PRINCETON",
            "state": "IA",
            "postal_code": "527689721",
            "telephone_number": "701-570-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 E KIMBERLY RD STE 400",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072230",
            "telephone_number": "563-396-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY B DEXTER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-396-4697",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "074741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSE",
            "identifier": "074741",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Davenport",
            "affiliation": "N",
            "address_1": "2178 E Kimberly Rd Ste 400",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 17, 2019; 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.