Individual provider Active NPI

John Harmon Ensign Jr., D.C.

  • Chiropractor
  • Clive, IA
National Provider Identifier
1265600605
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007298 Issued in IA
Practice address
1444 NW 124TH CT
Clive, IA 50325-8150
Phone
(515) 278-2782
NPI assigned
Feb 20, 2008
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 007298 IA Primary

Addresses

Primary practice location

1444 NW 124TH CT
Clive, IA 50325-8150

Mailing address

4223 87TH St
Urbandale, IA 50322-1401
Phone (563) 940-3778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000345 IA Practitioner - Chiropractic 4688746241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
007298IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Chiro, L.L.C. Chiropractor CurrentSince Jan 20, 2025 Accepting new patients
Omega Chiropractic Studio LLC Chiropractor Current Accepting new patients
Grinnell Eye Care PC Past Accepting new patients

Locations

3221 16th Ave SW
Cedar Rapids, IA 52404
Phone (319) 294-0000

3623 Douglas Ave
Des Moines, IA 50310
Phone (510) 279-0930

Organizations & group practices 3

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1265600605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 87TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221401",
            "telephone_number": "563-940-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 NW 124TH CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258150",
            "telephone_number": "515-278-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSIGN",
        "first_name": "JOHN",
        "middle_name": "HARMON",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.