Inner Health Chiropractic, P. L.L.C. – Chiropractor

Key facts

NPI: 1457548919
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 006988 (IA)
Legal business name: INNER HEALTH CHIROPRACTIC, P. L.L.C.
Practice address: 2406 E 53Rd St
Suite 2
Davenport, IA 52807-3827
Phone: (563) 344-3909
Fax: (563) 344-3910
NPI assigned: Sep 28, 2007
Organization subpart: No

Authorized official

Name: Dr. Jessica Marie Castaneda, D.C.
Title: Owner
Phone: (563) 344-3909

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Lindsay Jo Gall, DC Chiropractor · Bettendorf, IA · NPI 1174788442

NPD (past) CHIROPRACTOR
Holli Christine Martin, DC Chiropractor · Bettendorf, IA · NPI 1437680295

NPD (past) CHIROPRACTOR
Traci N Nelson Johnson, DC Chiropractor · Bettendorf, IA · NPI 1205891868

NPD (past) CHIROPRACTOR
Elizabeth Ellen Siefken, D.C. Chiropractor · Peosta, IA · NPI 1073742276

NPD (past) CHIROPRACTOR

National Provider Directory

Locations

2406 E 53rd St
Ste 2
Davenport, IA 52807
Phone (563) 344-3909

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	006988	IA	Yes

Addresses

Primary practice location

2406 E 53Rd St
Suite 2
Davenport, IA 52807-3827

Mailing address

2406 E 53Rd St
Suite 2
Davenport, IA 52807-3827
Phone (563) 344-3909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2014.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1457548919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 E 53RD ST",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073827",
            "telephone_number": "563-344-3909",
            "fax_number": "563-344-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E 53RD ST",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073827",
            "telephone_number": "563-344-3909",
            "fax_number": "563-344-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER HEALTH CHIROPRACTIC, P. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-344-3909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "006988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

All providers in Davenport, IA · Chiropractor in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.