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DR. JOHN DAVID STADER D.C.
NPI 1679592133
Chiropractor - Sports Physician in Bettendorf, IA

Active since July 18, 2006Accepts Medicare Assignment
2400 18TH ST, SUITE 101, BETTENDORF, IA 52722(563) 355-2020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John David Stader D.c. NPPES

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

DR. JOHN DAVID STADER D.C. (NPI 1679592133) is an individual sports physician in Bettendorf, Iowa, licensed in Iowa (06575) and active in the NPI registry since July 2006. He is a graduate of Palmer College Chiropractic - Davenport (2002).

NPPES Registry Identity

NPI1679592133
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. JOHN DAVID STADERCredential: D.C.
Location Address2400 18TH ST, SUITE 101Bettendorf, IA 52722-3280
Mailing Address3731 Eldorado DrBettendorf, IA 52722-2601 · (563) 355-2020
Phone(563) 355-2020
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2002
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679592133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in IA · 06575
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
2400 18TH ST, Bettendorf, IA 52722
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Other Identifiers 2

Other34148IA · Blue Cross Blue Shield
Medicare ID-Type UnspecifiedI9782IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John David Stader D.c. 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.

PECOS PAC ID6608831250
PECOS Enrollment IDI20041123000845

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 John Stader's NPI number?

The NPI number for John Stader is 1679592133. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is John Stader located?

John Stader practices at 2400 18th St Suite 101, Bettendorf, IA 52722. The listed phone number is (563) 355-2020.

What is John Stader's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is John Stader enrolled in Medicare?

Yes. John Stader 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.

What insurance does John Stader accept?

Health plans from Medica list John Stader as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Stader was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.