Active NPI
Anthony B Dexter a Professional Corporation
- Chiropractor
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 074741
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony B. Dexter, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074741 | Other | IA | DC LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Davenport |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Davenport, IA
- NPI 1447651518
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.