ACTIVE HEALTH CHIROPRACTIC LLC
NPI 1386321461
Chiropractor in Davenport, IA

Active since June 30, 2023
1802 W LOCUST ST, DAVENPORT, IA 52804(563) 359-4779 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Active Health Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE HEALTH CHIROPRACTIC LLC (NPI 1386321461) is a healthcare organization registered as a chiropractor in Davenport, Iowa and active in the NPI registry since June 2023. The organization lists Audi Oliva, Owner, as its authorized official.

NPPES Registry Identity

NPI1386321461
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE HEALTH CHIROPRACTIC LLC
Location Address1802 W LOCUST STDavenport, IA 52804-2326
Mailing Address1802 W Locust StDavenport, IA 52804-2326 · (563) 359-4779
Organization SubpartNo
Authorized OfficialAudi OlivaOwner · (309) 732-6988
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1386321461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
1802 W LOCUST ST, Davenport, IA 52804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Health Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Active Health Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1255017711
1802 W LOCUST ST
Davenport, IA 52804
(563) 359-4779
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Health Chiropractic LLC's NPI number?

The NPI number for Active Health Chiropractic LLC is 1386321461. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Active Health Chiropractic LLC located?

Active Health Chiropractic LLC is located at 1802 W Locust St, Davenport, IA 52804. The listed phone number is (563) 359-4779.

What is Active Health Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Active Health Chiropractic LLC enrolled in Medicare?

Yes. Active Health Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Health Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Active Health Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Active Health Chiropractic LLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.