Ivy Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

IVY CHIROPRACTIC CLINIC

Practice address

8404 W 13TH St N
#150
Wichita, KS 67212-2978

Phone

(316) 945-9096

Fax

(316) 722-1120

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Hank Price

Title

Office Administrator

Phone

(316) 945-9096

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1659565109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 W 13TH ST N",
            "address_2": "#150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122978",
            "telephone_number": "316-945-9096",
            "fax_number": "316-722-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 W 13TH ST N",
            "address_2": "#150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122978",
            "telephone_number": "316-945-9096",
            "fax_number": "316-722-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "316-945-9096"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "14185",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda A Issa, M.D.
• Nada Lea Issa
• Thomas S Ivan, DO
• Rachel Lynn Iverson, PHARM.D.
• Denise K. Ives, L.P.T.
• Joyce Karen Ivy Price, DC
• Ngozi Rosemary Iweha, R.PH
• Nnadozie Iwuagwu, NCC, LPC, LMAC
• Ahmad Y Izard, MD
• Raziah Izard

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.