Organization Active NPI

Mesick Family Chiropractic Clinic

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1912062159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06198 Issued in IA
Legal business name
MESICK FAMILY CHIROPRACTIC CLINIC
Practice address
5302 Elmore Ave
Davenport, IA 52807-3859
Phone
(563) 344-0707
Fax
(563) 344-6769
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sarah Joan Mesick, DC
Title
Owner
Phone
(563) 344-0707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X A06042 IA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X A06198 IA Primary

Addresses

Primary practice location

5302 Elmore Ave
Davenport, IA 52807-3859

Mailing address

5302 Elmore Ave
Davenport, IA 52807-3859
Phone (563) 344-0707

National Provider Directory

National Provider Directory

Locations

5302 Elmore Ave
Davenport, IA 52807
Phone (563) 344-0707

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912062159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 ELMORE AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073859",
            "telephone_number": "563-344-0707",
            "fax_number": "563-344-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 ELMORE AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073859",
            "telephone_number": "563-344-0707",
            "fax_number": "563-344-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESICK FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESICK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-344-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06042",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.