Active NPI
Susan M. Larkin Thier, D.C.
- Chiropractor
- Bettendorf, IA
National Provider Identifier
1780672436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 05015
- Practice address
- 3048 Victoria St
Bettendorf, IA 52722-2793 - Phone
- (563) 323-1551
- Fax
- (563) 359-0926
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 05015 | IA | Primary |
Addresses
Primary practice location
3048 Victoria St
Bettendorf, IA 52722-2793
Mailing address
3048 Victoria St
Bettendorf, IA 52722-2793
Phone (563) 323-1551
Other practice location 1
1000 Brady St
Davenport, IA 52803-5214
Phone (563) 884-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00035 | Other | IA | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Susan Larkin-Thier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05015 | IA | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1780672436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 VICTORIA ST",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527222793",
"telephone_number": "563-323-1551",
"fax_number": "563-359-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 VICTORIA ST",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527222793",
"telephone_number": "563-323-1551",
"fax_number": "563-359-0926"
}
],
"practiceLocations": [
{
"address_1": "1000 Brady St",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528035214",
"country_code": "US",
"telephone_number": "563-884-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARKIN THIER",
"first_name": "SUSAN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "05015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00035",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LARKIN-THIER",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.