Inner Health Systems P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A06163 Issued in IA

Legal business name

INNER HEALTH SYSTEMS P.C.

Doing business as

Inner Health Chiropractic

Practice address

2406 E 53Rd St Ste 2
Davenport, IA 52807-3827

Phone

(563) 344-3909

Fax

(563) 344-3914

NPI assigned

Dec 12, 2016

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Traci Nicole Nelson Johnson, D.C.NPI 1205891868

Title

Owner

Phone

(563) 359-9541

Specialties & licenses 1

Addresses

Other names 1

• Inner Health Chiropractic Doing business as

Locations

Practitioners 3

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.

• Traci N Nelson Johnson, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1205891868
  Authorized official Same address or phone
• Jessica Marie Castaneda, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1417157389
  NPD (past)
• Elizabeth Ellen Siefken, D.C.

  • Chiropractor
  • Peosta, IA
  • NPI 1073742276
  NPD (past)

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1770027658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 E 53RD ST",
            "address_2": "STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073827",
            "telephone_number": "563-344-3909",
            "fax_number": "563-344-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E 53RD ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073827",
            "telephone_number": "563-344-3909",
            "fax_number": "563-344-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER HEALTH SYSTEMS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "NELSON JOHNSON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-359-9541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.