Organization Active NPI

Merritt Chiropractic PC

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1386709566
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MERRITT CHIROPRACTIC PC
Practice address
2213 E 52ND St
Suite a
Davenport, IA 52807-2785
Phone
(563) 359-7298
Fax
(563) 359-4469
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bradford Paul Merritt, D.C.
Title
Chiropracter
Phone
(563) 359-7298

Specialties & licenses 1

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

Addresses

Primary practice location

2213 E 52ND St
Suite a
Davenport, IA 52807-2785

Mailing address

2213 E 52ND St
Suite a
Davenport, IA 52807-2785
Phone (563) 359-7298

Other identifiers 2

IdentifierTypeStateIssuer
10013OtherIAWELMARK
0454397MedicaidIA

National Provider Directory

National Provider Directory

Locations

2213 E 52nd St
Ste A
Davenport, IA 52807
Phone (563) 359-7298

Practitioners & affiliated clinicians

Practitioners 1

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386709566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 E 52ND ST",
            "address_2": "SUITE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072785",
            "telephone_number": "563-359-7298",
            "fax_number": "563-359-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 E 52ND ST",
            "address_2": "SUITE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072785",
            "telephone_number": "563-359-7298",
            "fax_number": "563-359-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTER",
        "authorized_official_telephone_number": "563-359-7298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELMARK",
            "identifier": "10013",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454397",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.