Active NPI
Lifetime Family Chiropractic
- Chiropractor
- Davenport, IA
National Provider Identifier
1164966347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 083519
- Legal business name
- LIFETIME FAMILY CHIROPRACTIC
- Practice address
- 2444 E Kimberly Rd
Suite B
Davenport, IA 52807-2368 - Phone
- (563) 499-0111
- NPI assigned
- Dec 7, 2016
- 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
- Jordan Mann, D.C.
- Title
- Owner
- Phone
- (563) 499-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 083519 | IA | Primary |
Addresses
Primary practice location
2444 E Kimberly Rd
Suite B
Davenport, IA 52807-2368
Mailing address
2444 E Kimberly Rd
Suite B
Davenport, IA 52807-2368
Phone (563) 499-0111
National Provider Directory
National Provider DirectoryLocations
2444 E Kimberly Rd
Ste B
Davenport, IA 52807
Phone (563) 499-0111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bettendorf, IA
- NPI 1669924080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481068800000",
"number": "1164966347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2444 E KIMBERLY RD",
"address_2": "SUITE B",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072368",
"telephone_number": "563-499-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 E KIMBERLY RD",
"address_2": "SUITE B",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072368",
"telephone_number": "563-499-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME FAMILY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-499-0111",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "083519",
"primary": true
}
],
"identifiers": [],
"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 Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.