Organization Active NPI

Iron Chiropractic

  • Chiropractor
  • Simi Valley, CA
National Provider Identifier
1043062359
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IRON CHIROPRACTIC
Practice address
1236 E Los Angeles Ave Ste C
Simi Valley, CA 93065-2893
Phone
(805) 791-3177
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Daniel Demerjian, DCNPI 1104500594
Title
Owner
Phone
(805) 791-3177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1236 E Los Angeles Ave Ste C
Simi Valley, CA 93065-2893

Mailing address

1236 E Los Angeles Ave Ste C
Simi Valley, CA 93065-2893
Phone (805) 791-3177

National Provider Directory

National Provider Directory

Locations

1236 E Los Angeles Ave
Ste C
Simi Valley, CA 93065
Phone (626) 423-3733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1043062359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E LOS ANGELES AVE STE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652893",
            "telephone_number": "805-791-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E LOS ANGELES AVE STE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652893",
            "telephone_number": "805-791-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "DEMERJIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-791-3177",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.