Frontline Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012344 Issued in IL

Legal business name

FRONTLINE CHIROPRACTIC CLINIC INC

Practice address

723 15TH Ave
East Moline, IL 61244-2133

Phone

(309) 755-2311

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Jacob Moreno, D.C.

Title

Owner

Phone

(309) 755-2311

Specialties & licenses 1

Addresses

Other names 1

• FCC INC Other name

Locations

Practitioners 1

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

• Brandi Nicole Said, DC

  • Chiropractor
  • Davenport, IA
  • NPI 1457996019
  NPD (past)

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1629310313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 15TH AVE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612442133",
            "telephone_number": "309-755-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 15TH AVE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612442133",
            "telephone_number": "309-755-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-755-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCC INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dale Edward Fehr, DDS
• Cynthia M Fleener, PT
• Forest Hill Health & Rehab Center Inc
• Stephanie Marie Foust
• Kevin Lee Freebern, D.C.
• Ashley Garber, M.S. SLP-CFY
• Stephanie Garner, PT, DPT, CSCS
• Ellen Garrity, LPC
• Genesis Health System
• Genesis Health System

• All providers in East Moline, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.