Individual provider Active NPI

Judy Lynn Duncalf, D.C.

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1407091556
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05908 Issued in IA
Practice address
3118 Rockingham Rd
Davenport, IA 52802-2071
Phone
(563) 323-1459
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05908 IA Primary

Addresses

Primary practice location

3118 Rockingham Rd
Davenport, IA 52802-2071

Mailing address

3118 Rockingham Rd
Davenport, IA 52802-2071
Phone (563) 323-1459

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000478 IA Practitioner - Chiropractic 9436213352 Practice locations: Davenport, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3030 Rockingham Rd
Davenport, IA 52802-2064
Phone (563) 323-1459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05908IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1407091556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 ROCKINGHAM RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528022071",
            "telephone_number": "563-323-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 ROCKINGHAM RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528022071",
            "telephone_number": "563-323-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCALF",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05908",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.