Individual provider Active NPI

Isaac Strole, DC

  • Chiropractor
  • Highland, IL
National Provider Identifier
1336910355
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.014112 Issued in IL
Practice address
1210 Washington St
Highland, IL 62249-1925
Phone
(618) 654-4520
NPI assigned
Jan 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.014112 IL Primary

Addresses

Primary practice location

1210 Washington St
Highland, IL 62249-1925

Mailing address

400 W Union St Apt 12
Edwardsville, IL 62025-1401
Phone (618) 792-5158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703003443 IL Practitioner - Chiropractic 6507300308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alvarado Healthcare LLCGroup PAC ID 0749549772, 2 clinicians

Practice addresses (Care Compare)

1210 Washington St
Highland, IL 62249-1925
Phone (618) 654-4520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.014112ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Healthcare LLC Chiropractor CurrentSince Jun 23, 2024 Accepting new patients
Alvarado Healthcare LLC Chiropractor CurrentSince May 21, 2024 Accepting new patients

Locations

1210 Washington St
Highland, IL 62249
Phone (618) 654-4520

Organizations & group practices 2

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1336910355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W UNION ST APT 12",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251401",
            "telephone_number": "618-792-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WASHINGTON ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491925",
            "telephone_number": "618-654-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROLE",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.