Organization Active NPI

Bryant Chiropractic PLLC

Doing business as Bryant Chiropractic

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1316547813
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRYANT CHIROPRACTIC PLLC
Doing business as
Bryant Chiropractic
Practice address
5216 Sheridan St Ste 130
Davenport, IA 52806-3978
Phone
(563) 324-1514
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Dr. Taylor Bryant, BS,DCNPI 1669874897
Title
Owner
Phone
(563) 324-1514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5216 Sheridan St Ste 130
Davenport, IA 52806-3978

Mailing address

5216 Sheridan St Ste 130
Davenport, IA 52806-3978
Phone (563) 324-1514

Other names 1

  • Bryant Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201120000612 IA Part B Supplier - Clinic/Group Practice 1052722121 Receives reassigned benefits from 1 practitioner
Practice locations: Davenport, IA

National Provider Directory

National Provider Directory

Locations

5216 Sheridan St
Ste 130
Davenport, IA 52806
Phone (563) 324-1514

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1316547813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 SHERIDAN ST STE 130",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063978",
            "telephone_number": "563-324-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 SHERIDAN ST STE 130",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063978",
            "telephone_number": "563-324-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-324-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS,DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryant Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.