Active NPI
Harris Chiropractic Clinic LLC
- Chiropractor
- Moline, IL
National Provider Identifier
1639986987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HARRIS CHIROPRACTIC CLINIC LLC
- Practice address
- 3610 25TH St Ste 1
Moline, IL 61265-7261 - Phone
- (309) 737-4163
- NPI assigned
- Dec 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julia Lynn Harris, DC
- Title
- Chiropractor
- Phone
- (309) 737-4163
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3610 25TH St Ste 1
Moline, IL 61265-7261
Mailing address
1002 23Rd St
Moline, IL 61265-2257
Phone (309) 737-4163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Moline, IL
- NPI 1174344329
-
- Chiropractor
- Geneseo, IL
- NPI 1568559474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1639986987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 23RD ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612652257",
"telephone_number": "309-737-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 25TH ST STE 1",
"city": "MOLINE",
"state": "IL",
"postal_code": "612657261",
"telephone_number": "309-737-4163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRIS CHIROPRACTIC CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "309-737-4163",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.