Active NPI
Todd A. Hubbard, D.C.
- Chiropractor
- Davenport, IA
National Provider Identifier
1992789952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06483
- Practice address
- 1000 Brady St
Davenport, IA 52803-5214 - Phone
- (563) 884-5801
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06483 | IA | Primary |
Addresses
Primary practice location
1000 Brady St
Davenport, IA 52803-5214
Mailing address
2495 Crow Creek Rd
Bettendorf, IA 52722-2072
Phone (563) 332-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038-008298 | Medicaid | IL | |
| 081-152-79 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1519 S Reserve St
Missoula, MT 59801-4755
Phone (406) 549-2006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Chiropractor
- Missoula, MT
- NPI 1285957019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1992789952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 CROW CREEK RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527222072",
"telephone_number": "563-332-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRADY ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035214",
"telephone_number": "563-884-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "TODD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038-008298",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "081-152-79",
"state": "IL"
}
],
"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 Mar 18, 2014; 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.