Todd M Slattery, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06262 Issued in IA

Practice address

1608 S 19TH St
Clinton, IA 52732-6702

Phone

(563) 242-2002

Fax

(563) 242-2772

NPI assigned

Jun 21, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Muscle & Spine Chiropractic Clinic Inc

  • Chiropractor
  • Clinton, IA
  • NPI 1881129708
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1245236751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 S 19TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326702",
            "telephone_number": "563-242-2002",
            "fax_number": "563-242-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 S 19TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326702",
            "telephone_number": "563-242-2002",
            "fax_number": "563-242-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-11-13",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "15762",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Sidlinger, LMHC
• Kimberly Sidlinger, LMHC
• David Louis Sievers, LMHC
• Laurie Lynn Sievers
• Skyline Center Inc
• Debbie Slaymaker, LCSW
• Jessica Slocum
• Smith and Sahota LLC
• Barbara A Smith-Fout, P.T.
• Kortni Danielle Smith, DC

• Chiropractor in Clinton, IA
• Providers in Clinton, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.