John Thomas Rader, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4784 Issued in IA

Practice address

6035 Shadowbrook Dr
Bettendorf, IA 52722-6564

Phone

(563) 332-4605

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Counseling & Psychology Center P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bettendorf, IA
  • NPI 1083719587
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1609904440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 SHADOWBROOK DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226564",
            "telephone_number": "563-332-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 SHADOWBROOK DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226564",
            "telephone_number": "563-332-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4784",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18134",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qctherapy LLC
• Quad Cities Foot & Ankle Associates PC
• Quad Cities Kidney Center Bettendorf, LLC
• Quad-Cities Counseling
• Brooke Hall Allender Radech, TLMHC, NCC, SCHOOLCO
• Emily Marie Radtke, NP
• Vivara Rages
• Farida Rajput, MD
• Samyuktha Ramavaram, M.D
• Cindy J Ramsay, CNM

• 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 Oct 21, 2010; 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.