Individual provider Active NPI

Kirk James Iodice, D.C.

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1295909323
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05188 Issued in KS
Practice address
801 N Mur-Len Rd
Suite 103
Olathe, KS 66062
Phone
(913) 764-2271
Fax
(913) 764-2276
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05188 KS Primary

Addresses

Primary practice location

801 N Mur-Len Rd
Suite 103
Olathe, KS 66062

Mailing address

801 N. Mur-Len Rd
Suite 103
Olathe, KS 66062
Phone (913) 764-2271

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

LicenseStateTypeSpecialty
01-05188KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Healthcare & Sports Injury, PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1295909323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N. MUR-LEN RD",
            "address_2": "SUITE 103",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-764-2271",
            "fax_number": "913-764-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MUR-LEN RD",
            "address_2": "SUITE 103",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-764-2271",
            "fax_number": "913-764-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IODICE",
        "first_name": "KIRK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.