IDEAL HEALTH AND WELLNESS, SC, CORP
NPI 1689013393
Family Medicine in Davenport, IA

Q: What is Ideal Health And Wellness, Sc's NPI number?

The NPI number for Ideal Health And Wellness, Sc is 1689013393. It was assigned to this organization in the NPPES registry on June 17, 2013. The provider is doing business as Ideal Health And Wellness, Sc, Corp.

Q: What is Ideal Health And Wellness, Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 17, 2013CLIA 16D2276181 · Waiver

1850 E 53RD ST STE 2, DAVENPORT, IA 52807(563) 359-4106(563) 359-4130 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 30, 2020, May 10, 2019 and 4 more (7 updates tracked since 2017).

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About Ideal Health And Wellness, Sc, Corp NPPES

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

IDEAL HEALTH AND WELLNESS, SC, CORP (NPI 1689013393) is a healthcare organization registered as a family medicine in Davenport, Iowa and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through February 2, 2027, maintains a secondary practice location in Moline, and lists Kathryn Frega, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1689013393

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameIDEAL HEALTH AND WELLNESS, SC

Location Address1850 E 53RD ST STE 2Davenport, IA 52807-2784

Mailing Address1850 E 53rd St Ste 2Davenport, IA 52807-2784 · (563) 359-4106 · Fax (563) 359-4130

Phone(563) 359-4106

Fax(563) 359-4130

Organization SubpartNo

Authorized OfficialKathryn FregaOwner/doctor · (563) 359-4106

Enumeration DateJune 17, 2013

Last NPPES UpdateJuly 21, 20227 updates tracked since enumeration

NPPES CertifiedMarch 30, 2020

✔ NPI 1689013393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedChiropractorTaxonomy 111N00000X · License 083863 (IA)

Also ListedChiropractor · InternistTaxonomy 111NI0900X · License 038012020 (IL)

Also ListedAcupuncturistTaxonomy 171100000X

Also ListedNaturopathTaxonomy 175F00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1850 E 53RD ST STE 2, Davenport, IA 52807

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Other Names 1

Doing Business AsIdeal Health And Wellness, Sc, Corp

Secondary Practice Location 1

Location 13900 28th Avenue Dr, Suite 125Moline, IL 61265-5536 · Phone (309) 281-6230

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ideal Health And Wellness, Sc, Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ideal Health And Wellness, Sc, Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kathryn Frega, D.C.

Chiropractic

NPI 1790067783

1850 E 53RD ST STE 2
Davenport, IA 52807

(563) 359-4106

Same address

Ashlee Hrabak, DC

Chiropractic

NPI 1043056294

4929 UTICA RIDGE RD
Davenport, IA 52807

(563) 424-1816

1.9 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2276181

Ideal Health And Wellness · Davenport, IA

Active · expires Feb 2, 2027

CLIA Number16D2276181

Laboratory TypePhysician Office

Certificate Effective DateFebruary 3, 2025

Certificate Expiration DateFebruary 2, 2027

Laboratory DirectorKathryn Frega

Laboratory Phone(563) 359-4106

Laboratory LocationIdeal Health And Wellness1850 E 53rd St Suite 2, Davenport, IA 52807

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Ideal Health And Wellness, Sc's NPI number?

The NPI number for Ideal Health And Wellness, Sc is 1689013393. It was assigned to this organization in the NPPES registry on June 17, 2013. The provider is doing business as Ideal Health And Wellness, Sc, Corp.

Where is Ideal Health And Wellness, Sc located?

Ideal Health And Wellness, Sc is located at 1850 E 53rd St Ste 2, Davenport, IA 52807. The listed phone number is (563) 359-4106.

What is Ideal Health And Wellness, Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ideal Health And Wellness, Sc enrolled in Medicare?

Yes. Ideal Health And Wellness, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ideal Health And Wellness, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ideal Health And Wellness, Sc. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ideal Health And Wellness, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2276181) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ideal Health And Wellness, Sc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.