Isom Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05696 Issued in KS

Legal business name

ISOM CHIROPRACTIC LLC

Practice address

10942 W 74TH Ter
Shawnee, KS 66203-4420

Phone

(913) 735-9565

Fax

(913) 273-0009

NPI assigned

Aug 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Michaerl Isom, DCNPI 1427440064

Title

Provider

Phone

(913) 735-9565

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Michael Isom, D.C

  • Chiropractor
  • Lenexa, KS
  • NPI 1427440064
  NPD Authorized official
• Chika E Okafor

  • Psychiatric/Mental Health Nurse Practitioner
  • Lees Summit, MO
  • NPI 1174969448
  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656720000000",
    "number": "1679055115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 RENNER RD APT 3",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662198012",
            "telephone_number": "913-735-9565",
            "fax_number": "913-273-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10942 W 74TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662034420",
            "telephone_number": "913-735-9565",
            "fax_number": "913-273-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISOM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A",
        "authorized_official_last_name": "ISOM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MICHAERL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "913-735-9565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "01-05696",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.