Quad City Wellness Group, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

QUAD CITY WELLNESS GROUP, LLC

Practice address

2220 E 53Rd St
Davenport, IA 52807-2704

Phone

(563) 355-3100

Fax

(888) 773-3960

NPI assigned

Mar 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brian Glaus, DCNPI 1144230376

Title

Owner/ Chiropractor

Phone

(480) 227-6841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 6

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

• Brian L Glaus, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1144230376
  Medicare reassignment Care Compare group NPD Authorized official
• Lindsey M Gimm, BS, DC

  • Chiropractor
  • Davenport, IA
  • NPI 1023742434
  Medicare reassignment Care Compare group NPD
• Bradley Douglas Lidvall, DC

  • Chiropractor
  • Davenport, IA
  • NPI 1033725866
  Medicare reassignment NPD
• Tiffany Themas, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1063953693
  Medicare reassignment NPD
• Dianna Marie Darland, LMT, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1598232746
  NPD (past)
• Jacob Rammell, DC

  • Chiropractor
  • Anchorage, AK
  • NPI 1780303776
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1982135976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28010 238TH ST",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539126",
            "telephone_number": "480-227-6841",
            "fax_number": "563-289-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072704",
            "telephone_number": "563-355-3100",
            "fax_number": "888-773-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "GLAUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "480-227-6841",
        "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": []
}

• Quad City Physical Therapy & Spine
• Quad City Physical Therapy & Spine Limited Partnership
• Quad City Prosthetic Inc
• Quad City Pulmonary Consultants PLC
• Quad City Sleep Company PC
• Kelly A Quaine
• Thomas C Quesnell, M.S.
• Quest Diagnostics LLC Il
• Quest Diagnostics LLC Il
• Amelia A Quijas

• 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 Mar 22, 2017; 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.

Verify at the official NPI Registry.