Organization Active NPI

Livewell Chiropractic and Wellness

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1659169183
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIVEWELL CHIROPRACTIC AND WELLNESS
Practice address
3456 Holiday CT Ste a
Bettendorf, IA 52722-3513
Phone
(563) 332-7110
Fax
(563) 332-7234
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Dr. Bret Grimes, DCNPI 1295187250
Title
President
Phone
(563) 332-7110

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3456 Holiday CT Ste a
Bettendorf, IA 52722-3513

Mailing address

3456 Holiday CT Ste a
Bettendorf, IA 52722-3513
Phone (563) 332-7110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250908000911 IA Part B Supplier - Clinic/Group Practice 7517469653 Receives reassigned benefits from 5 practitioners
Practice locations: Bettendorf, IA

National Provider Directory

National Provider Directory

Locations

3456 Holiday Ct
Ste A
Bettendorf, IA 52722
Phone (563) 332-7110

Practitioners & affiliated clinicians

Practitioners 5

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": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1659169183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 HOLIDAY CT STE A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223513",
            "telephone_number": "563-332-7110",
            "fax_number": "563-332-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 HOLIDAY CT STE A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223513",
            "telephone_number": "563-332-7110",
            "fax_number": "563-332-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-332-7110",
        "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 Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.