Organization Active NPI

Iselin Chiropractic

  • Preferred Provider Organization
  • Denver, CO
National Provider Identifier
1669657607
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
5038 Issued in CO
Legal business name
ISELIN CHIROPRACTIC
Practice address
3467 W 32ND Ave
Denver, CO 80211-3103
Phone
(303) 433-7373
Fax
(720) 377-1561
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Kerry M. Iselin, D.C.NPI 1265546162
Title
Chiropractor
Phone
(303) 433-7373

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
Preferred Provider Organization 305R00000X 5038 CO Primary

Addresses

Primary practice location

3467 W 32ND Ave
Denver, CO 80211-3103

Mailing address

3467 W 32ND Ave
Denver, CO 80211-3103
Phone (303) 433-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001433 CO Part B Supplier - Clinic/Group Practice 2769373554 Receives reassigned benefits from 1 practitioner
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory

Locations

3467 W 32nd Ave
Denver, CO 80211
Phone (303) 433-7373

2828 N Speer Blvd
Unit 117
Denver, CO 80211
Phone (303) 433-7373

7835 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 420-8157

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1669657607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 W 32ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113103",
            "telephone_number": "303-433-7373",
            "fax_number": "720-377-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 W 32ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113103",
            "telephone_number": "303-433-7373",
            "fax_number": "720-377-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISELIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "ISELIN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "303-433-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "5038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.