NPIMap

Organization Active NPI

Rspicchiotti

Doing business as QC Core Chiropractic Wellness Center

  • Primary Care Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1407182082
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
RSPICCHIOTTI
Doing business as
QC Core Chiropractic Wellness Center
Practice address
3430 Towne Pointe Dr
Bettendorf, IA 52722-5320
Phone
(563) 332-2204
Fax
(563) 332-2205
NPI assigned
Nov 2, 2009
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Dr. Eduardo Jaime Marquez, DCNPI 1639435167
Title
Owner
Phone
(815) 761-4783

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

3430 Towne Pointe Dr
Bettendorf, IA 52722-5320

Mailing address

3430 Towne Pointe Dr
Bettendorf, IA 52722-5320
Phone (563) 332-2204

Other names 1

  • QC Core Chiropractic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130603000317 IA Part B Supplier - Clinic/Group Practice 0042458093 Receives reassigned benefits from 2 practitioners
Practice locations: Bettendorf, IA

National Provider Directory

National Provider Directory

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": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1407182082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 TOWNE POINTE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225320",
            "telephone_number": "563-332-2204",
            "fax_number": "563-332-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 TOWNE POINTE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225320",
            "telephone_number": "563-332-2204",
            "fax_number": "563-332-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSPICCHIOTTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-01-11",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-761-4783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QC Core Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "QC Core Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2023; 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.