Ian Philipe Ahearn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32020 Issued in CA

Practice address

3065 Rosecrans PL Ste 108
San Diego, CA 92110-4854

Phone

(619) 640-0321

Fax

(619) 435-3158

NPI assigned

Feb 24, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ian Ahearn Chiropractic Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1518507334
  NPD Authorized official
• Coulsby Chiropractic, P.C.

  • Sports Physician Chiropractor
  • San Diego, CA
  • NPI 1790115558
  NPD (past)
• Matthew Sanicki Chiropractic Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1225471584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1003113259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 ROSECRANS PL STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104854",
            "telephone_number": "619-640-0321",
            "fax_number": "619-435-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 ROSECRANS PL STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104854",
            "telephone_number": "619-640-0321",
            "fax_number": "619-435-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "IAN",
        "middle_name": "PHILIPE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "32020",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "32020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Ahern
• Ahi Sleep Inc.

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.