Individual provider Active NPI

James Adeyemo Ijiwoye, D.C.

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1578504221
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8521 Issued in AZ
Practice address
325 N Alma School Rd Ste 1
Chandler, AZ 85224-4379
Phone
(480) 912-3003
Fax
(480) 264-3048
NPI assigned
Jun 10, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8521 AZ Primary

Addresses

Primary practice location

325 N Alma School Rd Ste 1
Chandler, AZ 85224-4379

Mailing address

325 N. Alma School Road
Suite 1
Chandler, AZ 85224-4379
Phone (480) 912-3003

Other identifiers 2

IdentifierTypeStateIssuer
AZ0155870OtherAZBLUECROSSBLUESHEILD OF AZ
CH2435MedicaidSC

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
8521AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Family Wellness PC Chiropractor PastSince Jan 4, 2008 Accepting new patients
Midlands Neurology & Pain Assoc, P.a Past Accepting new patients
Carolina Family Health Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578504221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N. ALMA SCHOOL ROAD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244379",
            "telephone_number": "480-912-3003",
            "fax_number": "480-264-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244379",
            "telephone_number": "480-912-3003",
            "fax_number": "480-264-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJIWOYE",
        "first_name": "JAMES",
        "middle_name": "ADEYEMO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHEILD OF AZ",
            "identifier": "AZ0155870",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2435",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.