Organization Active NPI

Lifetime Family Chiropractic

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1164966347
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
083519 Issued in IA
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

Updated by the provider on Dec 7, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.