NPIMap

Organization Active NPI

Omega Chiropractic Studio LLC

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1407364532
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007298 Issued in IA
Legal business name
OMEGA CHIROPRACTIC STUDIO LLC
Practice address
8671 Northpark CT
Johnston, IA 50131-2888
Phone
(563) 940-3778
Fax
(563) 940-3778
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
John Harmon Ensign Jr., DCNPI 1265600605
Title
Chiropractor
Phone
(563) 940-3778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007298 IA Primary

Addresses

Primary practice location

8671 Northpark CT
Johnston, IA 50131-2888

Mailing address

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1407364532",
    "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": "8671 NORTHPARK CT",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312888",
            "telephone_number": "563-940-3778",
            "fax_number": "563-940-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA CHIROPRACTIC STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "ENSIGN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HARMON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-940-3778",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.