Active NPI
Oriental Chiropractic LLC
- Chiropractor
- Bettendorf, IA
National Provider Identifier
1912649955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ORIENTAL CHIROPRACTIC LLC
- Practice address
- 2395 Tech Dr Ste 3
Bettendorf, IA 52722-3277 - Phone
- (630) 296-7428
- Fax
- (563) 359-0926
- NPI assigned
- Apr 11, 2022
- Last updated
- Apr 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyongsock Oh, D.C.
- Title
- Chiropractor
- Phone
- (630) 296-7428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2395 Tech Dr Ste 3
Bettendorf, IA 52722-3277
Mailing address
2395 Tech Dr Ste 3
Bettendorf, IA 52722-3277
Phone (630) 364-2302
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bettendorf, IA
- NPI 1376290783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1912649955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 TECH DR STE 3",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223277",
"telephone_number": "630-364-2302",
"fax_number": "563-359-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 TECH DR STE 3",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223277",
"telephone_number": "630-296-7428",
"fax_number": "563-359-0926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIENTAL CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-11",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "OH",
"authorized_official_first_name": "KYONGSOCK",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "630-296-7428",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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 Apr 9, 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.