1. Home
  2. Directory
  3. Illinois
  4. Moline
  5. Chiropractor
  6. NPI Profile

GREAT RIVER FAMILY WELLNESS
NPI 1972067361
Chiropractor in Moline, IL

Active since January 30, 2019
1909 52ND AVENUE, MOLINE, IL 61265(563) 210-4803 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Great River Family Wellness NPPES

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

GREAT RIVER FAMILY WELLNESS (NPI 1972067361), doing business as Great River Family Chiropractic, is a healthcare organization registered as a chiropractor in Moline, Illinois and active in the NPI registry since January 2019. The organization lists Alexis Arguello, Owner, as its authorized official.

NPPES Registry Identity

NPI1972067361
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREAT RIVER FAMILY WELLNESS
Location Address1909 52ND AVENUEMoline, IL 61265-6126
Mailing Address1909 52nd AvenueMoline, IL 61265 · (563) 210-4803
Phone(563) 210-4803
Organization SubpartYes
Authorized OfficialAlexis ArguelloOwner · (309) 764-3613
Enumeration DateJanuary 30, 2019
✔ NPI 1972067361 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.
1909 52ND AVENUE, Moline, IL 61265
Open in Google Maps ↗

Other Names 1

Doing Business AsGreat River Family Chiropractic

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)

Great River Family Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Great River Family Wellness, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Alexis Arguello, D.C.
Chiropractic
NPI 1124312707
1909 52ND AVE
Moline, IL 61265
(563) 210-4803
✔ Accepts MedicareSame address
Andrew Gardner, DC
Chiropractic
NPI 1750972717
1909 52ND AVE
Moline, IL 61265
(309) 764-3613
✔ Accepts MedicareSame address
Ethan Eaton, DC
Chiropractic
NPI 1609560390
1130 E KIMBERLY RD
Davenport, IA 52807
(309) 764-3613
✔ Accepts Medicare7.0 mi

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 Great River Family Wellness's NPI number?

The NPI number for Great River Family Wellness is 1972067361. It was assigned to this organization in the NPPES registry on January 30, 2019. The provider is doing business as Great River Family Chiropractic.

Where is Great River Family Wellness located?

Great River Family Wellness is located at 1909 52nd Avenue, Moline, IL 61265. The listed phone number is (563) 210-4803.

What is Great River Family Wellness's specialty?

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

Is Great River Family Wellness enrolled in Medicare?

Yes. Great River Family Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great River Family Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Great River Family Wellness. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great River Family Wellness was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.