Active NPI
John P Outhier, DC
- Chiropractor
- Shenandoah, IA
National Provider Identifier
1154434504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6297
- Practice address
- 600 S Fremont St
Suite B
Shenandoah, IA 51601-1539 - Phone
- (712) 215-9165
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6297 | IA | Primary |
Addresses
Primary practice location
600 S Fremont St
Suite B
Shenandoah, IA 51601-1539
Mailing address
600 S Fremont St
Suite B
Shenandoah, IA 51601-1539
Phone (712) 215-9165
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6297 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1154434504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S FREMONT ST",
"address_2": "SUITE B",
"city": "SHENANDOAH",
"state": "IA",
"postal_code": "516011539",
"telephone_number": "712-215-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S FREMONT ST",
"address_2": "SUITE B",
"city": "SHENANDOAH",
"state": "IA",
"postal_code": "516011539",
"telephone_number": "712-215-9165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTHIER",
"first_name": "JOHN",
"middle_name": "P",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "6297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.