TL-JST, INC. (NPI# 1508826942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508826942 |
| Entity Type | Organization |
| Organization Name | TL-JST, INC. |
| Practice Address |
1750 Prairie Vista Cir Bettendorf IA 52722-1828 |
| Practice Telephone | 5633591702 |
| Mailing Telephone | 5633591702 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS ALAN WICKS (DIRECTOR) |
| Authorized Official Telephone | 5633591702 |
| Authorized Official Credential | PH.D., D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
A5695 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS / BLUE SHIELD | 11784 | 01 |
| Street Address |
1750 PRAIRIE VISTA CIR |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588855068 | Mason City Chiropractic, Inc. | Chiropractor | 1314 4th St Sw Ste 112, Mason City, IA 50401-2758 | 2007-08-08 |
| 1396936431 | Brooklyn Chiropractic, P.l.c. | Chiropractor | 124 Jackson St., Brooklyn, IA 52211 | 2007-08-05 |
| 1407050651 | Carew Chiropractic Inc | Chiropractor | 2411 2nd St Ste 1, Coralville, IA 52241-1500 | 2007-06-12 |
| 1801997275 | Stephen John Dalsing | Chiropractor | 1920 John F Kennedy Rd, Dubuque, IA 52002-3896 | 2006-09-26 |
| 1417060997 | Jerome L Carew | Chiropractor | 2411 2nd St, Suite 1, Coralville, IA 52241-1500 | 2006-08-17 |
| 1538109749 | Ann Marie Campagna | Chiropractor | 507 Lombard St, Clarence, IA 52216-7703 | 2006-06-07 |
| 1417922501 | David H Hammans | Chiropractor | 3520 Beaver Ave, Suite B, Des Moines, IA 50310-3264 | 2006-02-22 |
| 1770571929 | Ronald Charles Evans | Chiropractor | 1441 29th St, Suite 100, West Des Moines, IA 50266-1309 | 2005-10-12 |
| 1942205323 | James Paul Faine | Chiropractor | 319 W 5th St, Storm Lake, IA 50588-1743 | 2005-06-14 |
| 1386780732 | Gwen Anne Lovell Kollath | Chiropractor | 5460 Merle Hay Rd, Ste G1, Johnston, IA 50131-1239 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on TL-JST, INC..
| 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.