Organization Active NPI

Community Chiropractic LLC

Doing business as Community Chiropractic

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1730359076
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007019 Issued in IA
Legal business name
COMMUNITY CHIROPRACTIC LLC
Doing business as
Community Chiropractic
Practice address
3475 Jersey Ridge Rd
Davenport, IA 52807-2293
Phone
(563) 359-4779
Fax
(563) 359-4965
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Jill Schmitt, D.C.
Title
Manager
Phone
(563) 359-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007019 IA Primary

Addresses

Primary practice location

3475 Jersey Ridge Rd
Davenport, IA 52807-2293

Mailing address

3475 Jersey Ridge Rd
Davenport, IA 52807-2293
Phone (563) 359-4779

Other names 1

  • Community Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3475 Jersey Ridge Rd
Davenport, IA 52807
Phone (563) 359-4779

3475 Jersey Ridge Rd
Ste 2
Davenport, IA 52807
Phone (319) 481-3534

1802 W Locust St
Davenport, IA 52804
Phone (563) 326-5583

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1730359076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 JERSEY RIDGE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072293",
            "telephone_number": "563-359-4779",
            "fax_number": "563-359-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 JERSEY RIDGE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072293",
            "telephone_number": "563-359-4779",
            "fax_number": "563-359-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-359-4779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2008; 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.