Daiki Ishiyama, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011946 Issued in IL

Practice address

2565 Shermer Rd
Northbrook, IL 60062-6725

Phone

(847) 272-1000

NPI assigned

Jan 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Healthsmart of Illinois, LTD.Group PAC ID 2062584832, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthsmart of Illinois, LTD.

  • Chiropractor
  • Northbrook, IL
  • NPI 1972771400
  Medicare reassignment Care Compare group
• Healthsmart of Illinois, LTD.

  • Orthopedic Chiropractor
  • Northbrook, IL
  • NPI 1710194295
  NPD (past)

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1053700336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626725",
            "telephone_number": "847-272-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIYAMA",
        "first_name": "DAIKI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelsey Lyn Jablonski Davidson, LCSW, CADC

• Chiropractor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.