Individual provider Active NPI

John Howard Sharpless, D.C.

  • Chiropractor
  • Kokomo, IN
National Provider Identifier
1356496202
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000617A Issued in IN
Practice address
1810 Dogwood Dr
Kokomo, IN 46902-5737
Phone
(765) 459-4575
Fax
(765) 459-9415
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000617A IN Primary

Addresses

Primary practice location

1810 Dogwood Dr
Kokomo, IN 46902-5737

Mailing address

1810 Dogwood Dr
Kokomo, IN 46902-5737
Phone (765) 459-4575

Other identifiers 1

IdentifierTypeStateIssuer
33-1208112OtherINFEDERAL TAX ID

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
08000617AINMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213401600000",
    "number": "1356496202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 DOGWOOD DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025737",
            "telephone_number": "765-459-4575",
            "fax_number": "765-459-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 DOGWOOD DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025737",
            "telephone_number": "765-459-4575",
            "fax_number": "765-459-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPLESS",
        "first_name": "JOHN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000617A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "33-1208112",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; 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.