Organization Active NPI

Quad Cities Foot & Ankle Associates PC

  • Primary Podiatric Medicine Podiatrist
  • Bettendorf, IA
National Provider Identifier
1639517501
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
QUAD CITIES FOOT & ANKLE ASSOCIATES PC
Practice address
2332 Cumberland Square Dr
Bettendorf, IA 52722-3219
Phone
(563) 391-2889
Fax
(563) 391-2988
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
David W Schroeder, DPMNPI 1225091671
Title
Owner
Phone
(563) 391-2889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

2332 Cumberland Square Dr
Bettendorf, IA 52722-3219

Mailing address

2332 Cumberland Square Dr
Bettendorf, IA 52722-3219
Phone (563) 391-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20131024000804 IA DME Supplier - Physician - Podiatry 7618102831 Practice locations: Bettendorf, IA
O20131105001283 IL Part B Supplier - Clinic/Group Practice 7618102831 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Island, IL
O20131105001295 IA Part B Supplier - Clinic/Group Practice 7618102831 Receives reassigned benefits from 4 practitioners
Practice locations: Bettendorf, IA

National Provider Directory

National Provider Directory

Locations

2332 Cumberland Square Dr
Bettendorf, IA 52722
Phone (563) 391-2889

430 W 35th St
Davenport, IA 52806
Phone (563) 386-9494

1118 11th St
Stop 1
De Witt, IA 52742
Phone (563) 391-2889

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11329/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1639517501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 CUMBERLAND SQUARE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223219",
            "telephone_number": "563-391-2889",
            "fax_number": "563-391-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 CUMBERLAND SQUARE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223219",
            "telephone_number": "563-391-2889",
            "fax_number": "563-391-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES FOOT & ANKLE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-391-2889",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "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 Apr 6, 2022; 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.