DR. ETHAN EATON DC
NPI 1609560390
Chiropractor in Davenport, IA
About Dr. Ethan Eaton Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ETHAN EATON DC (NPI 1609560390) is an individual chiropractor in Davenport, Iowa, licensed in Iowa (112508) and active in the NPI registry since June 2023. He is a graduate of Palmer College Chiropractic - Davenport (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ethan Eaton Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Eaton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moline, IL 61265
- Reassigned Medicare billing, Iowa enrollment
- 2 clinicians in this Medicare group
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 Ethan Eaton's NPI number?
The NPI number for Ethan Eaton is 1609560390. It was assigned to this individual provider in the NPPES registry on June 6, 2023.
Where is Ethan Eaton located?
Ethan Eaton practices at 1130 E Kimberly Rd, Davenport, IA 52807. The listed phone number is (309) 764-3613.
What is Ethan Eaton's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ethan Eaton enrolled in Medicare?
Yes. Ethan Eaton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ethan Eaton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Eaton reassigns Medicare benefits to Great River Family Wellness (Moline, IL). The 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 Ethan Eaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ethan Eaton was last updated on September 13, 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.
# Dr. Ethan Eaton, DC · NPI 1609560390
Chiropractor provider in Davenport, Iowa. Individual provider, active in the CMS NPPES registry since June 6, 2023.
## Identity
- **NPI:** 1609560390 (Entity type: Individual)
- **Enumerated:** June 6, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 112508 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1130 E KIMBERLY RD, Davenport, IA 52807-1710
- **Phone:** (309) 764-3613
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Great River Family Wellness (NPI 1972067361, Moline, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2021
## Record status
- **NPPES last updated:** September 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609560390) · Data from the CMS NPPES public registry.