Active NPI
Taylor Overmohle
- Chiropractor
- Davenport, IA
National Provider Identifier
1649795485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8816
- Practice address
- 13609 110TH Ave
Davenport, IA 52804-9033 - Phone
- (602) 881-6696
- Fax
- (602) 881-6696
- NPI assigned
- Aug 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8816 | AZ | Primary |
Addresses
Primary practice location
13609 110TH Ave
Davenport, IA 52804-9033
Mailing address
4538 E Juana CT
Cave Creek, AZ 85331-3294
Phone (480) 590-0160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duncan Chiropractic & Acupuncture Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Davenport, IA
- NPI 1700304540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1649795485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4538 E JUANA CT",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853313294",
"telephone_number": "480-590-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13609 110TH AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528049033",
"telephone_number": "602-881-6696",
"fax_number": "602-881-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERMOHLE",
"first_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-12",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "8816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.