Organization Active NPI

Gold Coast Chiropractic & Acupuncture Wellness Center, L.L.C.

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1235554916
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007101 Issued in IA
Legal business name
GOLD COAST CHIROPRACTIC & ACUPUNCTURE WELLNESS CENTER, L.L.C.
Practice address
604 West 5TH Street
Davenport, IA 52801
Phone
(563) 340-9197
NPI assigned
Mar 4, 2014
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Tonia RogersNPI 1598076762
Title
Chiropractor
Phone
(563) 340-9197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007101 IA Primary

Addresses

Primary practice location

604 West 5TH Street
Davenport, IA 52801

Mailing address

604 West 5TH Street
Davenport, IA 52801

National Provider Directory

National Provider Directory

Locations

901 E Kimberly Rd
Ste 17
Davenport, IA 52807
Phone (563) 322-5739

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1235554916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WEST 5TH STREET",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WEST 5TH STREET",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52801",
            "telephone_number": "563-340-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST CHIROPRACTIC & ACUPUNCTURE WELLNESS CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-340-9197"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007101",
            "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 Mar 4, 2014; 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.