Active NPI
Gold Coast Chiropractic & Acupuncture Wellness Center, L.L.C.
- Chiropractor
- Davenport, IA
National Provider Identifier
1235554916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007101
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonia Rogers
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Chiropractor
- Davenport, IA
- NPI 1598076762
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.