Individual provider Active NPI

Kenneth R Storjohann, D.C.

  • Chiropractor
  • Reinbeck, IA
National Provider Identifier
1104816891
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03077 Issued in IA
Practice address
423 Main St
Reinbeck, IA 50669-1049
Phone
(319) 345-2831
Fax
(319) 345-6626
NPI assigned
Oct 25, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03077 IA Primary

Addresses

Primary practice location

423 Main St
Reinbeck, IA 50669-1049

Mailing address

423 Main St
Reinbeck, IA 50669-1049
Phone (319) 345-2831

Other identifiers 1

IdentifierTypeStateIssuer
0002816MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104816891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MAIN ST",
            "city": "REINBECK",
            "state": "IA",
            "postal_code": "506691049",
            "telephone_number": "319-345-2831",
            "fax_number": "319-345-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MAIN ST",
            "city": "REINBECK",
            "state": "IA",
            "postal_code": "506691049",
            "telephone_number": "319-345-2831",
            "fax_number": "319-345-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORJOHANN",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "03077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002816",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reinbeck, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.