Mindful Ease Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

077533 Issued in IA

Legal business name

MINDFUL EASE CHIROPRACTIC LLC

Practice address

2435 Kimberly Rd
Suite 30N
Bettendorf, IA 52722-3509

Phone

(563) 349-4652

NPI assigned

Aug 16, 2016

Last updated

Dec 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Freda O Tyson, D.C.NPI 1871999318

Title

Chiropractor

Phone

(563) 346-4652

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Freda Tyson, D.C.

  • Chiropractor
  • Bettendorf, IA
  • NPI 1871999318
  NPD (past) Authorized official

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1528513934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 WINDING HILL RD",
            "address_2": "APT 213",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071364",
            "telephone_number": "563-349-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD",
            "address_2": "SUITE 30N",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223509",
            "telephone_number": "563-349-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL EASE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-346-4652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "077533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Timothy E Miller, CPO
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• Joshua Dale Mitchell, PT, DPT
• Shrey Modi, M.D.
• Emily Patricia Monahan-Carlson, MA LMHC, NCC

• Chiropractor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.