Organization Active NPI

Complete Balance Chiropractic PC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1902187149
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COMPLETE BALANCE CHIROPRACTIC PC
Practice address
1967 Spruce Hills Dr
Bettendorf, IA 52722-2624
Phone
(563) 293-3616
NPI assigned
Sep 1, 2011
Organization subpart
No

National Provider Directory

National Provider Directory

Locations

1020 Lincoln Rd
Bettendorf, IA 52722
Phone (309) 793-7000

601 Brady St
Ste 301H
Davenport, IA 52803
Phone (309) 793-7000

601 Brady St
Ste 115
Davenport, IA 52803
Phone (309) 793-7000

3832 14th Ave
Rock Island, IL 61201
Phone (309) 793-7000

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Dr. Stacey L Willey, D.C.
Title
President/Owner
Phone
(563) 293-3616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1967 Spruce Hills Dr
Bettendorf, IA 52722-2624

Mailing address

1967 Spruce Hills Dr
Bettendorf, IA 52722-2624
Phone (563) 293-3616

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2024.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1902187149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 SPRUCE HILLS DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222624",
            "telephone_number": "563-293-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 SPRUCE HILLS DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222624",
            "telephone_number": "563-293-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE BALANCE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "563-293-3616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.