Organization Active NPI

Heartland Chiropractic

Doing business as Heartland Chiropractic & Sports Injury Clinic

  • Sports Physician Chiropractor
  • East Moline, IL
National Provider Identifier
1801912738
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038-008669 Issued in IL
Legal business name
HEARTLAND CHIROPRACTIC
Doing business as
Heartland Chiropractic & Sports Injury Clinic
Practice address
379 Avenue of the Cities
East Moline, IL 61244
Phone
(309) 752-1410
Fax
(309) 752-1410
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Robert Glen Smith, D.C.
Title
Owner
Phone
(309) 752-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 038-008669 IL Primary

Addresses

Primary practice location

379 Avenue of the Cities
East Moline, IL 61244

Mailing address

379 Avenue of the Cities
East Moline, IL 61244
Phone (309) 752-1410

Other names 1

  • Heartland Chiropractic & Sports Injury Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

379 Avenue of the Cities
East Moline, IL 61244
Phone (309) 752-1410

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1801912738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 AVENUE OF THE CITIES",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "61244",
            "telephone_number": "309-752-1410",
            "fax_number": "309-752-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 AVENUE OF THE CITIES",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "61244",
            "telephone_number": "309-752-1410",
            "fax_number": "309-752-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-752-1410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038-008669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Chiropractic & Sports Injury Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.