Jersey Ridge Chiro & Rehab

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

06275 Issued in IA

Legal business name

JERSEY RIDGE CHIRO & REHAB

Doing business as

JERSEY RIDGE CHIRO & REHAB

Practice address

2322 E Kimberly Rd # 140
Davenport, IA 52807-7205

Phone

(563) 884-8093

NPI assigned

May 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Castro

Title

Chiropractor

Phone

(563) 884-8093

Specialties & licenses 1

Addresses

Other names 1

• JERSEY RIDGE CHIRO & REHAB Doing business as

Locations

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1780892992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 HARMONY DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223108",
            "telephone_number": "563-359-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD # 140",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077205",
            "telephone_number": "563-884-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY RIDGE CHIRO & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-884-8093",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IA",
            "license": "06275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JERSEY RIDGE CHIRO & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Jenks Kettmann, M.ED.
• Theresa Lynn Jennings, DNP, ARNP
• Valerie Jennings, DDS
• Jennie Sue Jensen, RN
• Kathy Jensen, LISW
• Jersey Ridge Dental Associates
• Jersey Ridge Place, L.L.C.
• Jestel Health Services, Inc.
• Jillyn Kaufman, PLC
• JMJ3 Heritage, L.L.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.