Individual provider Active NPI

Eduardo Jaime Marquez, DC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1639435167
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007518 Issued in IA
Practice address
3430 Towne Pointe Dr
Bettendorf, IA 52722-5320
Phone
(563) 332-2204
Fax
(563) 332-2205
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007518 IA Primary

Addresses

Primary practice location

3430 Towne Pointe Dr
Bettendorf, IA 52722-5320

Mailing address

3430 Towne Pointe Dr
Bettendorf, IA 52722-5320
Phone (563) 332-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000079 IA Practitioner - Chiropractic 8426210204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RspicchiottiGroup PAC ID 0042458093, 2 clinicians

Practice addresses (Care Compare)

3430 Towne Pointe Dr
Bettendorf, IA 52722-5320
Phone (563) 332-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rspicchiotti Chiropractor CurrentSince Jun 3, 2013 Accepting new patients
Wickwire Chiropractic and Wellness Center P.C. Chiropractor PastSince Apr 15, 2020 Accepting new patients

Locations

3430 Towne Pointe Dr
Bettendorf, IA 52722
Phone (563) 332-2204

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1639435167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 TOWNE POINTE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225320",
            "telephone_number": "563-332-2204",
            "fax_number": "563-332-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 TOWNE POINTE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225320",
            "telephone_number": "563-332-2204",
            "fax_number": "563-332-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "EDUARDO",
        "middle_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.