Organization Active NPI

Daehler Family Chiropractic

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1437882289
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DAEHLER FAMILY CHIROPRACTIC
Practice address
3267 Ridge PT
Bettendorf, IA 52722-5312
Phone
(563) 332-6511
NPI assigned
Jul 7, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Dr. Jared Daehler, DCNPI 1720710049
Title
Owner
Phone
(563) 219-5166

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3267 Ridge PT
Bettendorf, IA 52722-5312

Mailing address

3267 Ridge PT
Bettendorf, IA 52722-5312

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.sfcwellnesscenter.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914001664 IA Part B Supplier - Clinic/Group Practice 5395120158 Receives reassigned benefits from 1 practitioner
Practice locations: Bettendorf, IA

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, 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": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1437882289",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAEHLER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "DAEHLER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-219-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.sfcwellnesscenter.com/",
            "affiliation": "N",
            "address_1": "3267 Ridge Pt",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527225312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 30, 2022; 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.