Individual provider Active NPI

John K Soenen, DC

  • Chiropractor
  • Iowa City, IA
National Provider Identifier
1497901474
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007114 Issued in IA
Practice address
105 Iowa Ave Ste 231
Iowa City, IA 52240-3906
Phone
(319) 621-5048
Fax
(319) 621-5048
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007114 IA Primary

Addresses

Primary practice location

105 Iowa Ave Ste 231
Iowa City, IA 52240-3906

Mailing address

105 Iowa Ave Ste 231
Iowa City, IA 52240-3906
Phone (319) 621-5048

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007114IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1497901474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 IOWA AVE STE 231",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403906",
            "telephone_number": "319-621-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 IOWA AVE STE 231",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403906",
            "telephone_number": "319-621-5048",
            "fax_number": "319-621-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOENEN",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.