Organization Active NPI

Upchurch Chiropractic Inc

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1659629954
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007429 Issued in IA
Legal business name
UPCHURCH CHIROPRACTIC INC
Practice address
2435 Kimberly Rd
Suite 85 South
Bettendorf, IA 52722-3509
Phone
(563) 424-1020
Fax
(563) 424-1020
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Jolene Melissa Upchurch, D.C.
Title
Chiropractor
Phone
(317) 250-4656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 007429 IA Primary

Addresses

Primary practice location

2435 Kimberly Rd
Suite 85 South
Bettendorf, IA 52722-3509

Mailing address

2803 Sheridan St
Davenport, IA 52803-1133
Phone (317) 250-4656

Other names 1

  • True North Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2435 Kimberly Rd
Ste 85S
Bettendorf, IA 52722
Phone (563) 424-1020

710 E Kimberly Rd
Ste 4
Davenport, IA 52807
Phone (563) 424-1020

710 E Kimberly Rd
Davenport, IA 52807
Phone (319) 386-5390

114 Highway 70 E
#A2
Dickson, TN 37055
Phone (615) 441-6115

Practitioners & affiliated clinicians

Practitioners 1

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": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1659629954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 SHERIDAN ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031133",
            "telephone_number": "317-250-4656",
            "fax_number": "563-388-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD",
            "address_2": "SUITE 85 SOUTH",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223509",
            "telephone_number": "563-424-1020",
            "fax_number": "563-424-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPCHURCH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "UPCHURCH",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "317-250-4656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True North Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.