Active NPI
Chanda Ting, D.C.
- Chiropractor
- Moline, IL
National Provider Identifier
1194042218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011549
- Practice address
- 5202 38TH Ave
Moline, IL 61265-6722 - Phone
- (319) 541-2210
- NPI assigned
- Apr 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011549 | IL | Primary |
| Chiropractor | 111N00000X | 4671-12 | WI |
Addresses
Primary practice location
5202 38TH Ave
Moline, IL 61265-6722
Mailing address
5202 38TH Ave
Moline, IL 61265-6722
Phone (319) 541-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011549 | IL | MD | Chiropractor |
| 4671-12 | WI | MD | Chiropractor |
| 4671 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Foot & Ankle Center Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Moline, IL
- NPI 1235728510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382054400000",
"number": "1194042218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 38TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656722",
"telephone_number": "319-541-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 38TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656722",
"telephone_number": "319-541-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TING",
"first_name": "CHANDA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-29",
"last_updated": "2013-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011549",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4671-12",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.