Deere Road Chiropractic LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007883 Issued in IL

Legal business name

DEERE ROAD CHIROPRACTIC LTD.

Practice address

5202 38TH Ave
Moline, IL 61265-6722

Phone

(309) 736-7400

Fax

(309) 736-0361

NPI assigned

Apr 21, 2008

Organization subpart

No

Name

Dr. Virginia Ann Schwieder, D.C.NPI 1144221920

Title

Doctor of Chiropractic

Phone

(309) 736-7400

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

• Virginia Ann Schwieder, DC

  • Chiropractor
  • Moline, IL
  • NPI 1144221920
  Medicare reassignment NPD Authorized official
• Joseph Berry, D.C.

  • Chiropractor
  • Moline, IL
  • NPI 1831103480
  NPD (past)
• Jeffrey John Lybarger, D.C.

  • Chiropractor
  • Moline, IL
  • NPI 1225270093
  NPD (past)
• Ashley Nicole Jones, D.C

  • Chiropractor
  • Richland, IA
  • NPI 1285757542
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2008.

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1609040666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 38TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656722",
            "telephone_number": "309-736-7400",
            "fax_number": "309-736-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 38TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656722",
            "telephone_number": "309-736-7400",
            "fax_number": "309-736-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERE ROAD CHIROPRACTIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "SCHWIEDER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "309-736-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08130289",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1477120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Davies, MD
• Lashona Michelle Davis, CMA
• Julie Lyn Dean, DC, DICCP
• Kirsten Dean
• Deasker Inc
• Autumn Ashley Dekoster, LCPC, LMHP, CAADC
• Carson Michelle Delgadillo
• Fallon Levada Devlin
• Thomas Paul Dhanens, PH.D.
• Dialysis Access Center, LLC

• All providers in Moline, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.