Active NPI
Seth Dennis Isaacson, D.C.
- Chiropractor
- Mesa, AZ
National Provider Identifier
1689734014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7931
- Practice address
- 4856 E Baseline Rd Ste 104
Mesa, AZ 85206-4635 - Phone
- (480) 355-1361
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 7931 | AZ | Primary |
Addresses
Primary practice location
4856 E Baseline Rd Ste 104
Mesa, AZ 85206-4635
Mailing address
4856 E Baseline Rd Ste 104
Mesa, AZ 85206-4635
Phone (480) 355-1361
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4206304-00 | Medicaid | MN | |
| 647717 | Other | MN | CHIROPRACTIC CARE |
| 76D46CO | Other | MN | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7931 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cokato Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Cokato, MN
- NPI 1649445511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1689734014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 E BASELINE RD STE 104",
"city": "MESA",
"state": "AZ",
"postal_code": "852064635",
"telephone_number": "480-355-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4856 E BASELINE RD STE 104",
"city": "MESA",
"state": "AZ",
"postal_code": "852064635",
"telephone_number": "480-355-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACSON",
"first_name": "SETH",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4206304-00",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC CARE",
"identifier": "647717",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "76D46CO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.