Active NPI
Great River Family Wellness
- Chiropractor
- Moline, IL
National Provider Identifier
1972067361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- GREAT RIVER FAMILY WELLNESS
- Practice address
- 1909 52ND Avenue
Moline, IL 61265-6126 - Phone
- (563) 210-4803
- NPI assigned
- Jan 30, 2019
- Organization subpart
- Yes
- Parent organization
- GREAT RIVER FAMILY WELLNESS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexis Arguello, DC
- Title
- Owner
- Phone
- (309) 764-3613
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1909 52ND Avenue
Moline, IL 61265-6126
Mailing address
1909 52ND Avenue
Moline, IL 61265
Phone (563) 210-4803
Other names 1
- Great River Family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Enrollment records 2
National Provider Directory
National Provider Directory- Part of
- Great River Family Wellness
Locations
1130 E Kimberly Rd
Davenport, IA 52807
Phone (309) 764-3613
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Davenport, IA
- NPI 1609560390
-
- Chiropractor
- Moline, IL
- NPI 1750972717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548806400000",
"number": "1972067361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 52ND AVENUE",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "563-210-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 52ND AVENUE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656126",
"telephone_number": "563-210-4803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT RIVER FAMILY WELLNESS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREAT RIVER FAMILY WELLNESS",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A",
"authorized_official_last_name": "ARGUELLO",
"authorized_official_first_name": "ALEXIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-764-3613",
"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": "Great River Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.