Allen Lee Diercks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4736 Issued in IA

Practice address

2322 E Kimberly Rd
C 1
Davenport, IA 52807-7205

Phone

(563) 388-9492

Fax

(563) 388-0019

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allen L Diercks DC PC

  • Chiropractor
  • Davenport, IA
  • NPI 1851623367
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1992771695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MANOR DR",
            "city": "RIVERDALE",
            "state": "IA",
            "postal_code": "527225727",
            "telephone_number": "563-355-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD",
            "address_2": "C 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077205",
            "telephone_number": "563-388-9492",
            "fax_number": "563-388-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERCKS",
        "first_name": "ALLEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203828",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamond Medical Spa and Vein, PC
• Janelle Dickman, PT
• Scott Eric Dickman, P.T.
• David Leroy Diehl, D.D.S.
• Kimberly Ann Diercks-Oetzel, D.C.
• David W.R. Dierks, D.O.
• Dietrich Chiropractic PC
• L. Anthony Dietrich, DC
• Carol M. Dietsch, ARNP
• James Stevan Digman, RPH

• All providers in Davenport, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.