Organization Active NPI

Great River Family Chiropractic

  • Chiropractor
  • Moline, IL
National Provider Identifier
1740574334
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011810 Issued in IL
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

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Alexis James Arguello, D.CNPI 1124312707
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.