Organization Active NPI

Slavens Family Chiropractic, PC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1346255106
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06289 Issued in IA
Legal business name
SLAVENS FAMILY CHIROPRACTIC, PC
Practice address
3267 Ridge PT
Bettendorf, IA 52722-5312
Phone
(563) 332-6511
Fax
(563) 332-1606
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Samuel Slavens, D.C.
Title
Owner
Phone
(563) 332-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06289 IA Primary

Addresses

Primary practice location

3267 Ridge PT
Bettendorf, IA 52722-5312

Mailing address

3267 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-6511

Other identifiers 1

IdentifierTypeStateIssuer
11651OtherIAIOWA BLUE CROSS GROUP NUM

National Provider Directory

National Provider Directory

Locations

3267 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4776

Practitioners & affiliated clinicians

Practitioners 4

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1346255106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 RIDGE PT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225312",
            "telephone_number": "563-332-6511",
            "fax_number": "563-332-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 RIDGE PT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225312",
            "telephone_number": "563-332-6511",
            "fax_number": "563-332-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAVENS FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "SLAVENS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-332-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BLUE CROSS GROUP NUM",
            "identifier": "11651",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.