Amy L. Blevins, DC, LLC
Organization Active NPI Chiropractor · Bettendorf, IA
NPI 1891300463 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1891300463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- AMY L. BLEVINS, DC, LLC
- Practice address
- 1912 Middle Rd Ste 200
Bettendorf, IA 52722-7600 - Phone
- (563) 888-5130
- Fax
- (563) 888-1780
- NPI assigned
- Sep 10, 2020
- Organization subpart
- No
Authorized official
- Name
- Amy L Blevins, DC
- Title
- Owner
- Phone
- (563) 888-5130
Practitioners 1
-
Amy L Blevins, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200924001483 | IA | Part B Supplier - Clinic/Group Practice | 6608295613 |
Receives reassigned benefits from 1 practitioner Practice locations: Bettendorf, IA |
National Provider Directory
Locations
1912 Middle Rd
Ste 200
Bettendorf, IA 52722
Phone (563) 355-7770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1912 Middle Rd Ste 200
Bettendorf, IA 52722-7600
Mailing address
1912 Middle Rd Ste 200
Bettendorf, IA 52722-7600
Phone (563) 888-5130
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.