Active NPI
Susan R. Duncan, D.C.
- Sports Physician Chiropractor
- Blue Grass, IA
National Provider Identifier
1518010768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 04805
- Practice address
- 301 E Mayne St
Blue Grass, IA 52726-9794 - Phone
- (563) 381-2010
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 04805 | IA | Primary |
Addresses
Primary practice location
301 E Mayne St
Blue Grass, IA 52726-9794
Mailing address
301 E Mayne St
Blue Grass, IA 52726-9794
Phone (563) 381-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252395 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duncan Chiropractic & Acupuncture Clinic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Davenport, IA
- NPI 1700304540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518010768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E MAYNE ST",
"city": "BLUE GRASS",
"state": "IA",
"postal_code": "527269794",
"telephone_number": "563-381-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MAYNE ST",
"city": "BLUE GRASS",
"state": "IA",
"postal_code": "527269794",
"telephone_number": "563-381-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "SUSAN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IA",
"license": "04805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0252395",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Grass, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.