Jaclyn R Butterbrodt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007638 Issued in IA

Practice address

2395 Tech Dr
Ste 2
Bettendorf, IA 52722-3277

Phone

(563) 355-2881

Fax

(563) 359-4424

NPI assigned

Apr 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quad Cities Chiropractic Center, LLC

  • Chiropractor
  • Fergus Falls, MN
  • NPI 1881849040
  NPD
• Bryant Chiropractic PLLC

  • Chiropractor
  • Davenport, IA
  • NPI 1316547813
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1275977142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 TECH DR",
            "address_2": "STE 2",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223277",
            "telephone_number": "563-355-2881",
            "fax_number": "563-359-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 TECH DR",
            "address_2": "STE 2",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223277",
            "telephone_number": "563-355-2881",
            "fax_number": "563-359-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERBRODT",
        "first_name": "JACLYN",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Burgett, PHARMD
• Amy M Burkhart, ARNP
• Burnham & Gagliardo, P.L.L.C.
• Frederick Charles Burnham, D.M.D.
• Amanda Burrill
• Rachel Rose Buttimer, DO
• Robert Lang Byrum, DDS
• C&T Senior Companions LLC
• Jasmin R Cabrera, M.D.
• Calico Lens Counseling PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.