Active NPI
Great River Family Chiropractic
- Chiropractor
- Moline, IL
National Provider Identifier
1740574334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011810
- Legal business name
- GREAT RIVER FAMILY CHIROPRACTIC
- Practice address
- 1909 52ND Ave
Moline, IL 61265-6381 - Phone
- (563) 210-4803
- NPI assigned
- Jun 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexis James Arguello, D.C
- Title
- Doctor of Chiropractic
- Phone
- (563) 210-4803
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011810 | IL | Primary |
Addresses
Primary practice location
1909 52ND Ave
Moline, IL 61265-6381
Mailing address
1909 52ND Ave
Moline, IL 61265-6381
Phone (563) 210-4803
National Provider Directory
National Provider DirectoryLocations
1909 52nd Ave
Moline, IL 61265
Phone (309) 764-3613
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Moline, IL
- NPI 1124312707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1740574334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 52ND AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656381",
"telephone_number": "563-210-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 52ND AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656381",
"telephone_number": "563-210-4803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT RIVER FAMILY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "ARGUELLO",
"authorized_official_first_name": "ALEXIS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "563-210-4803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038011810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.