Individual provider Active NPI

Kerry Iselin, D.C.

  • Chiropractor
  • Wheat Ridge, CO
National Provider Identifier
1265546162
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5038 Issued in CO
Practice address
7835 W 38TH Ave
Wheat Ridge, CO 80033-6109
Phone
(303) 433-7373
Fax
(720) 377-1561
NPI assigned
Aug 18, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5038 CO Primary

Addresses

Primary practice location

7835 W 38TH Ave
Wheat Ridge, CO 80033-6109

Mailing address

7835 W 38TH Ave
Wheat Ridge, CO 80033-6109
Phone (303) 433-7373

Other practice location 1

3467 W 32nd Ave
Denver, CO 80211-3103
Phone (303) 433-7373

Other practice location 2

3467 W 32nd Ave
Denver, CO 80211-3103
Phone (303) 433-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000401 CO Practitioner - Chiropractic 7012808819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7835 W 38TH Ave
Wheat Ridge, CO 80033-6109
Phone (303) 433-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5038COMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iselin Chiropractic CurrentSince Jan 1, 2003 Accepting new patients

Locations

3467 W 32nd Ave
Denver, CO 80211
Phone (303) 433-7373

7835 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 420-8157

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265546162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336109",
            "telephone_number": "303-433-7373",
            "fax_number": "720-377-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336109",
            "telephone_number": "303-433-7373",
            "fax_number": "720-377-1561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3467 W 32nd Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802113103",
            "country_code": "US",
            "telephone_number": "303-433-7373",
            "fax_number": "720-377-1561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3467 W 32nd Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802113103",
            "country_code": "US",
            "telephone_number": "303-433-7373",
            "fax_number": "720-377-1561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISELIN",
        "first_name": "KERRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.