Amy L Mathis, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

007163 Issued in IA

Legal business name

AMY L MATHIS, LLC

Practice address

3359 Middle Rd
Bettendorf, IA 52722-3402

Phone

(563) 332-2211

NPI assigned

Jul 20, 2009

Last updated

Jul 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy L Mathis, D.C.

Title

Owner

Phone

(563) 676-1765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1891925251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223402",
            "telephone_number": "563-332-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223402",
            "telephone_number": "563-332-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY L MATHIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-676-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IA",
            "license": "007163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Anderson, PHARMD
• Robert F Anderson, MD

• Health Service Clinic/Center in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Health Service Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.