Organization Active NPI

Neises Chiropractic Clinic

  • Chiropractor
  • Rock Island, IL
National Provider Identifier
1336425412
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012014 Issued in IL
Legal business name
NEISES CHIROPRACTIC CLINIC
Practice address
2512 18TH Ave
Rock Island, IL 61201-4735
Phone
(309) 786-3012
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Dr. Daniel William Neises, D.C.NPI 1326030180
Title
Chiropractor
Phone
(608) 843-0707

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 038012014 IL Primary

Addresses

Primary practice location

2512 18TH Ave
Rock Island, IL 61201-4735

Mailing address

2512 18TH Ave
Rock Island, IL 61201-4735
Phone (309) 786-3012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000845 IL Part B Supplier - Clinic/Group Practice 0244404986 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Island, IL

National Provider Directory

National Provider Directory

Locations

2512 18th Ave
Rock Island, IL 61201
Phone (309) 786-3012

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1336425412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 18TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612014735",
            "telephone_number": "309-786-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 18TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612014735",
            "telephone_number": "309-786-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEISES CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "NEISES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-843-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.