Organization Active NPI

Stine Chiropractic Clinic, PLLC

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1467763524
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06075 Issued in IA
Legal business name
STINE CHIROPRACTIC CLINIC, PLLC
Practice address
400 N Main St
Suite 104
Davenport, IA 52801-1417
Phone
(563) 324-8888
Fax
(563) 324-8888
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Dr. Martin B Stine, D.C.
Title
Owner/President
Phone
(563) 324-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A06075 IA Primary

Addresses

Primary practice location

400 N Main St
Suite 104
Davenport, IA 52801-1417

Mailing address

400 N Main St
Suite 104
Davenport, IA 52801-1417
Phone (563) 324-8888

National Provider Directory

National Provider Directory

Locations

206 E Main St
Solon, IA 52333
Phone (319) 624-3433

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1467763524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011417",
            "telephone_number": "563-324-8888",
            "fax_number": "563-324-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011417",
            "telephone_number": "563-324-8888",
            "fax_number": "563-324-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STINE CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "563-324-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06075",
            "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 Feb 10, 2012; 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.