Individual provider Active NPI

Maria Anderson-Dooley, D.C.

  • Chiropractor
  • Moline, IL
National Provider Identifier
1881682540
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06031 Issued in IA
Practice address
2001 52ND Ave
Suite 1
Moline, IL 61265-6368
Phone
(309) 764-4901
NPI assigned
Oct 7, 2005
Last updated
Mar 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06031 IA Primary

Addresses

Primary practice location

2001 52ND Ave
Suite 1
Moline, IL 61265-6368

Mailing address

5313 Judge Rd
Bettendorf, IA 52722-1178

Other identifiers 1

IdentifierTypeStateIssuer
41097OtherIABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081110000827 IL Practitioner - Chiropractic 8224197918 Reassigns benefits to 1 organization
I20141217000467 IA Practitioner - Chiropractic 8224197918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmer College FoundationGroup PAC ID 1557266863, shared by 3 NPIs, 44 clinicians

Practice addresses (Care Compare)

1000 Brady St
Davenport, IA 52803-5214
Phone (563) 884-5801

2001 52ND Ave
Suite 1
Moline, IL 61265-6368
Phone (309) 764-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A06031IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer College Foundation Chiropractor CurrentSince Sep 22, 2008 Accepting new patients
Palmer College Foundation Chiropractor CurrentSince Sep 22, 2008 Accepting new patients

Locations

1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800

2001 52nd Ave
Ste 1
Moline, IL 61265
Phone (309) 736-9317

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1881682540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 JUDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 52ND AVE",
            "address_2": "SUITE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656368",
            "telephone_number": "309-764-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-DOOLEY",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41097",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.