Individual provider Active NPI

Jared Daehler, DC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1720710049
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
115047 Issued in IA
Practice address
3267 Ridge PT
Bettendorf, IA 52722-5312
Phone
(563) 332-6511
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 115047 IA Primary

Addresses

Primary practice location

3267 Ridge PT
Bettendorf, IA 52722-5312

Mailing address

3267 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-6511

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.sfcwellnesscenter.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001747 IA Practitioner - Chiropractic 6204211063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3267 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-6511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115047IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daehler Family Chiropractic Chiropractor CurrentSince Jun 28, 2022 Accepting new patients
Slavens Family Chiropractic, PC Chiropractor CurrentSince Jun 28, 2022 Accepting new patients

Locations

3267 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4776

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1720710049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 RIDGE PT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225312",
            "telephone_number": "563-332-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 RIDGE PT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225312",
            "telephone_number": "563-332-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAEHLER",
        "first_name": "JARED",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "115047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.sfcwellnesscenter.com/",
            "affiliation": "N",
            "address_1": "3267 Ridge Pt",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527225312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.