Chamein Clark-Witter DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06365 Issued in IA

Legal business name

CHAMEIN CLARK-WITTER DC PC

Practice address

1749 E 54TH Street
Davenport, IA 52807

Phone

(563) 344-4926

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Chamein K Clark-Witter, DC

Title

Doctor/Owner

Phone

(563) 344-4926

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1346640422",
    "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 STREET",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52807",
            "telephone_number": "563-344-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMEIN CLARK-WITTER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "CLARK-WITTER",
        "authorized_official_first_name": "CHAMEIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "563-344-4926",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Davenport, IA
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• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.