Active NPI
Susan Emily Ewen, D.C.
- Chiropractor
- Milan, IL
National Provider Identifier
1811299316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011828
- Practice address
- 222 10TH Ave E # 52803
Milan, IL 61264-3114 - Phone
- (309) 787-9660
- NPI assigned
- Dec 3, 2010
- Last updated
- Jul 18, 2018
- 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 | 038.011828 | IL | Primary |
Addresses
Primary practice location
222 10TH Ave E # 52803
Milan, IL 61264-3114
Mailing address
2230 Scott St
Davenport, IA 52803-2715
Phone (563) 570-0812
Other practice location 1
3724 Blackhawk Road
Rock Island, IL 61201-9700
Phone (309) 786-2071
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 |
|---|---|---|---|
| 038.011828 | IL | MD | Chiropractor |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Milan, IL
- NPI 1861961211
-
- Chiropractor
- Rock Island, IL
- NPI 1134425366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1811299316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 SCOTT ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032715",
"telephone_number": "563-570-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 10TH AVE E # 52803",
"city": "MILAN",
"state": "IL",
"postal_code": "612643114",
"telephone_number": "309-787-9660"
}
],
"practiceLocations": [
{
"address_1": "3724 Blackhawk Road",
"address_purpose": "LOCATION",
"city": "Rock Island",
"state": "IL",
"postal_code": "612019700",
"country_code": "US",
"telephone_number": "309-786-2071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EWEN",
"first_name": "SUSAN",
"middle_name": "EMILY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.