100 Chiro Powell PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO POWELL PLLC

Practice address

4810 Elmore Ave Ste H
Davenport, IA 52807-3423

Phone

(563) 424-1020

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jolene Melissa Powell, DC

Title

Owner/DC

Phone

(563) 424-1020

Specialties & licenses 1

Addresses

Other names 1

• Jolene Powell Sole MBR Other name

Locations

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1942825468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 ELMORE AVE STE H",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073423",
            "telephone_number": "563-424-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 ELMORE AVE STE H",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073423",
            "telephone_number": "563-424-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO POWELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "563-424-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jolene Powell Sole MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.