Allen L Diercks DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4736 Issued in IA

Legal business name

ALLEN L DIERCKS DC PC

Practice address

2322 E Kimberly Rd
Davenport, IA 52807-7205

Phone

(563) 388-9492

Fax

(563) 388-0019

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Allen Lee Diercks, D.C.NPI 1992771695

Title

President

Phone

(563) 388-9492

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allen Lee Diercks, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1992771695
  Medicare reassignment NPD Authorized official
• Kenneth Robert Krayenhagen, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1588633531
  NPD (past)
• Heather T Stanfield, DC

  • Chiropractor
  • Oneida, IL
  • NPI 1265425680
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1851623367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077205",
            "telephone_number": "563-388-9492",
            "fax_number": "563-388-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077205",
            "telephone_number": "563-388-9492",
            "fax_number": "563-388-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN L DIERCKS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "DIERCKS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-388-9492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dean Aldrich, D.C.
• Emma Grace Alexander
• William Alexander, D.C.
• Farah Aljanabi
• All for You LLC
• Elaine Renee Allen, DC
• Allergy and Asthma Associates of the Mississippi Valley, PLLC
• Amy Ruth Allison
• Brett Sheridan Allmond, PA-C
• Ally Acupuncture, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.