Active NPI
John Harmon Ensign Jr., D.C.
- Chiropractor
- Clive, IA
National Provider Identifier
1265600605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007298
- Practice address
- 1444 NW 124TH CT
Clive, IA 50325-8150 - Phone
- (515) 278-2782
- NPI assigned
- Feb 20, 2008
- Last updated
- Oct 11, 2018
- 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 | 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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007298 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Chiro, L.L.C. | Chiropractor | Current | 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.
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- Cedar Rapids, IA
- NPI 1366717894
-
- Chiropractor
- Johnston, IA
- NPI 1407364532
-
- Optometrist
- Grinnell, IA
- NPI 1770565749
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.