Active NPI
Kory Lee Isley, D.C.
- Chiropractor
- Montgomery, MN
National Provider Identifier
1639249840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3935
- Practice address
- 317 1St St S
Montgomery, MN 56069-1603 - Phone
- (507) 364-7500
- Fax
- (507) 364-7444
- NPI assigned
- Nov 8, 2006
- Last updated
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3935 | MN | Primary |
Addresses
Primary practice location
317 1St St S
Montgomery, MN 56069-1603
Mailing address
1305 History CT NW
New Prague, MN 56071-2457
Phone (507) 364-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028R4IS | Other | MN | BCBS |
| 338682100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Creek LN S
Jordan, MN 55352-1202
Phone (952) 492-6363
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Chiropractic Health Center of Prior Lake, PA | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Jordan, MN
- NPI 1417001702
-
- Chiropractor
- Prior Lake, MN
- NPI 1891901609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1639249840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 HISTORY CT NW",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560712457",
"telephone_number": "507-364-7500",
"fax_number": "507-364-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 1ST ST S",
"city": "MONTGOMERY",
"state": "MN",
"postal_code": "560691603",
"telephone_number": "507-364-7500",
"fax_number": "507-364-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLEY",
"first_name": "KORY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "028R4IS",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "338682100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, MN
- Brenda Lee Hentges
- Herrmann Drug Inc. (Herrmann Drug)
- Seth Huiras, D.D.S.
- Hunter Creek Dental, PA
- Inspire Services, LLC
- Geoffrey Allen Iverson, D.D.S.
- Nancy Marie Kaley, LADC
- Stephanie A Kivi, MD
- Kramer Chiropracitic Wellness Center, LLC
- Kramer Chiropractic Wellness Center PLLC (Montgomery Family Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.