Wholistic Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06365 Issued in IA

Legal business name

WHOLISTIC FAMILY CHIROPRACTIC LLC

Practice address

1749 E 54TH St
Davenport, IA 52807-2769

Phone

(563) 344-4926

Fax

(563) 344-8759

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chamein Kay Clark-Witter, D.C.

Title

Doctor

Phone

(563) 344-4926

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1295069797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 E 54TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072769",
            "telephone_number": "563-344-4926",
            "fax_number": "563-344-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 E 54TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072769",
            "telephone_number": "563-344-4926",
            "fax_number": "563-344-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "CLARK-WITTER",
        "authorized_official_first_name": "CHAMEIN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "563-344-4926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239160",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24142",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Whiteman
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• Emily Whitsell, DC
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• Thomas A. Wicks, D.C.
• Kari Elizabeth Wiese, OT
• Lindsay K Wiese, RD. LD
• Rebecca Andresen Wiese, MD
• Matthew Theodore Wieskamp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.