Active NPI
Kira Baca, DC
- Chiropractor
- Bettendorf, IA
National Provider Identifier
1821609918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 099312
- Practice address
- 2435 Kimberly Rd Ste 290
Bettendorf, IA 52722-3509 - Phone
- (845) 518-5280
- NPI assigned
- Aug 12, 2020
- Last updated
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 099312 | IA | Primary |
Addresses
Primary practice location
2435 Kimberly Rd Ste 290
Bettendorf, IA 52722-3509
Mailing address
805 Grand Ave
Davenport, IA 52803-5652
Phone (845) 518-5280
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099312 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
2435 Kimberly Rd
Ste 290
Bettendorf, IA 52722
Phone (563) 320-8820
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1821609918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 GRAND AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035652",
"telephone_number": "845-518-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 KIMBERLY RD STE 290",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223509",
"telephone_number": "845-518-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "KIRA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2021-07-01",
"certification_date": "2021-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "099312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.