NPIMap

Organization Active NPI

Palmer College Foundation

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1174535181
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALMER COLLEGE FOUNDATION
Practice address
1000 Brady St
Davenport, IA 52803-5214
Phone
(563) 884-5810
Fax
(563) 884-5731
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Tara Schulz
Title
Exec Director of Clinic Operations
Phone
(563) 884-5828

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Brady St
Davenport, IA 52803-5214

Mailing address

1000 Brady St
Davenport, IA 52803-5214
Phone (563) 884-5810

Other identifiers 2

IdentifierTypeStateIssuer
22392OtherIABCBS
08115279OtherILBCBS

Other names 1

  • Palmer Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000357 IA Part B Supplier - Clinic/Group Practice 1557266863 Receives reassigned benefits from 22 practitioners
Practice locations: Davenport, IA

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2201 11th St
Rock Island, IL 61201
Phone (309) 786-2663

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1174535181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035214",
            "telephone_number": "563-884-5810",
            "fax_number": "563-884-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035214",
            "telephone_number": "563-884-5810",
            "fax_number": "563-884-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER COLLEGE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "EXEC DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "563-884-5828"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22392",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08115279",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palmer Chiropractic Clinic",
            "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 Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.