GOETZ CHIROPRACTIC LLC (NPI# 1861014086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861014086 |
| Entity Type | Organization |
| Organization Name | GOETZ CHIROPRACTIC LLC |
| Practice Address |
3536 Jersey Ridge Rd Davenport IA 52807-2223 |
| Practice Telephone | 5632009188 |
| Mailing Telephone | 5632009188 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | DR. ROBERT LUCAS GOETZ (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 6082933195 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Peak Performance and Wellness | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GOETZ CHIROPRACTIC LLC | 6129 Judson Cir, Davenport, IA 52807 |
| Street Address |
3536 JERSEY RIDGE RD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457826497 | Dalton Daniel Doudna | Chiropractor | 3536 Jersey Ridge Rd, Davenport, IA 52807-2223 | 2018-10-05 |
| 1790252096 | Innate Chiropractic, Plc | Clinic/Center | 3536 Jersey Ridge Rd, Davenport, IA 52807-2223 | 2018-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
| 1821609918 | Kira Baca | Chiropractor | 3231 Schuetzen Ln Apt 3, Davenport, IA 52804-4344 | 2020-08-12 |
| 1437776663 | Manuel Alejandro Soto-garcia | Chiropractor | 4824 Grandview Pkwy, Davenport, FL 33837-2301 | 2020-07-03 |
| 1457826497 | Dalton Daniel Doudna | Chiropractor | 3536 Jersey Ridge Rd, Davenport, IA 52807-2223 | 2018-10-05 |
| 1477035442 | Jacqueline M Gulley | Chiropractor | 2010 E 38th St Ste 201b, Davenport, IA 52807-1179 | 2018-09-05 |
| 1528573102 | Torry Dean Slawson | Chiropractor | 3904 Lillie Ave Ste 1, Davenport, IA 52806-4422 | 2017-12-05 |
| 1134631583 | Randy Pitts | Chiropractor | 100 Vista Pass, Davenport, FL 33897-8381 | 2017-10-25 |
| 1649795485 | Taylor Overmohle | Chiropractor | 13609 110th Ave, Davenport, IA 52804-9033 | 2017-08-12 |
| 1598298812 | Crystal Drzewiecki | Chiropractor | 1954 Walling Ct, Davenport, IA 52803-3077 | 2017-04-04 |
| 1770027658 | Inner Health Systems P.C. | Chiropractor | 2406 E 53rd St Ste 2, Davenport, IA 52807-3827 | 2016-12-12 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.