Individual provider Active NPI

Troy Michael Newmyer, D.C.

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1831281104
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06471 Issued in IA
Practice address
4811 N Brady St
Suite 1a
Davenport, IA 52806-3974
Phone
(563) 386-8308
Fax
(563) 386-4650
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06471 IA Primary

Addresses

Primary practice location

4811 N Brady St
Suite 1a
Davenport, IA 52806-3974

Mailing address

4811 N Brady St
Suite 1a
Davenport, IA 52806-3974
Phone (563) 386-8308

Other identifiers 1

IdentifierTypeStateIssuer
49539OtherIABCBS

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

LicenseStateTypeSpecialty
06471IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
2 Docs Chiropractic PLC Chiropractor PastSince Jan 1, 2004 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1831281104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 N BRADY ST",
            "address_2": "SUITE 1A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063974",
            "telephone_number": "563-386-8308",
            "fax_number": "563-386-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 N BRADY ST",
            "address_2": "SUITE 1A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063974",
            "telephone_number": "563-386-8308",
            "fax_number": "563-386-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMYER",
        "first_name": "TROY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49539",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.