NPIMap

Organization Active NPI

Premier Chiropractic, PLLC

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1982921656
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007291 Issued in IA
Legal business name
PREMIER CHIROPRACTIC, PLLC
Practice address
2010 E 38TH St
Suite 103
Davenport, IA 52807-1155
Phone
(563) 514-6777
Fax
(563) 514-8170
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Karmen Lair, D.C.
Title
Manager
Phone
(563) 514-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007291 IA Primary

Addresses

Primary practice location

2010 E 38TH St
Suite 103
Davenport, IA 52807-1155

Mailing address

2010 E 38TH St
Suite 103
Davenport, IA 52807-1155
Phone (563) 514-6777

National Provider Directory

National Provider Directory

Locations

2010 E 38th St
Ste 103
Davenport, IA 52807
Phone (319) 459-0202

Practitioners & affiliated clinicians

Practitioners 4

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": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1982921656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST",
            "address_2": "SUITE 103",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071155",
            "telephone_number": "563-514-6777",
            "fax_number": "563-514-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST",
            "address_2": "SUITE 103",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071155",
            "telephone_number": "563-514-6777",
            "fax_number": "563-514-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "LAIR",
        "authorized_official_first_name": "KARMEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-514-6777",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007291",
            "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 11, 2010; 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.