Jivan Koneru

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

920 S Oak St
Iowa Falls, IA 50126-9507

Phone

(641) 648-7000

NPI assigned

Feb 13, 2025

Last updated

Feb 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1780489815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 SE APPLEWOOD LN",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638406",
            "telephone_number": "515-803-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S OAK ST",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501269507",
            "telephone_number": "641-648-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONERU",
        "first_name": "JIVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Falls Chiropractic Clinic
• Iowa Falls Community School District
• J. Bradley Miller DDS (Iowa Falls Family Dentistry)
• Bryn Johnson, DDS
• JS-RF Inc (Corner Pharmacy)
• Scott Krueger, DPT
• Chandler Shane Krukow, DC
• Shane Warren Krukow, D.C.
• Kenneth Harlan Kuyper, DDS
• Felicia M Ledbetter, LMSW

• Student in an Organized Health Care Education/Training Program in Iowa Falls, IA
• Providers in Iowa Falls, IA by specialty
• Student in an Organized Health Care Education/Training Program in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.