Organization Active NPI

John D Calisesi DC PC

  • Chiropractor
  • Fort Dodge, IA
National Provider Identifier
1215918628
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4401 Issued in IA
Legal business name
JOHN D CALISESI DC PC
Doing business as
Calisesi Chiropractic
Practice address
24 S 14TH St
Fort Dodge, IA 50501-4964
Phone
(515) 576-2183
Fax
(515) 576-2336
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. John Douglas Calisesi, D.C.
Title
Owner
Phone
(515) 576-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4401 IA Primary

Addresses

Primary practice location

24 S 14TH St
Fort Dodge, IA 50501-4964

Mailing address

24 S 14TH St
Fort Dodge, IA 50501-4964
Phone (515) 576-2183

Other identifiers 1

IdentifierTypeStateIssuer
0098392MedicaidIA

Other names 1

  • Calisesi Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1215918628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S 14TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014964",
            "telephone_number": "515-576-2183",
            "fax_number": "515-576-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 14TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014964",
            "telephone_number": "515-576-2183",
            "fax_number": "515-576-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D CALISESI DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "CALISESI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-576-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098392",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calisesi Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.