NPIMap

Organization Active NPI

River City Chiropractic Center, LLC

  • Chiropractor
  • East Peoria, IL
National Provider Identifier
1215301254
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012215 Issued in IL
Legal business name
RIVER CITY CHIROPRACTIC CENTER, LLC
Practice address
731 Sabrina Dr
Suite B
East Peoria, IL 61611-3581
Phone
(309) 699-7222
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Dr. Bradley Davis, D.C.NPI 1942546064
Title
Chiropractic Physician
Phone
(309) 699-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.012215 IL Primary

Addresses

Primary practice location

731 Sabrina Dr
Suite B
East Peoria, IL 61611-3581

Mailing address

731 Sabrina Dr
Suite B
East Peoria, IL 61611-3581
Phone (309) 699-7222

National Provider Directory

National Provider Directory

Locations

731 Sabrina Dr
Unit B
East Peoria, IL 61611
Phone (309) 699-2422

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": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1215301254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SABRINA DR",
            "address_2": "SUITE B",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113581",
            "telephone_number": "309-699-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SABRINA DR",
            "address_2": "SUITE B",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113581",
            "telephone_number": "309-699-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "309-699-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.