Individual provider Active NPI

James Thomas Iwanoff, D.C.

  • Chiropractor
  • Agoura Hills, CA
National Provider Identifier
1821101148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13558 Issued in CA
Practice address
30423 Canwood St
Suite 225
Agoura Hills, CA 91301-2082
Phone
(818) 797-2225
Fax
(818) 991-9070
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC13558 CA Primary

Addresses

Primary practice location

30423 Canwood St
Suite 225
Agoura Hills, CA 91301-2082

Mailing address

30423 Canwood St
Suite 225
Agoura Hills, CA 91301-2082
Phone (818) 707-2225

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iwanoff Chiropractic Chiropractor PastSince Jul 1, 2011 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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821101148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST",
            "address_2": "SUITE 225",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012082",
            "telephone_number": "818-707-2225",
            "fax_number": "818-991-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST",
            "address_2": "SUITE 225",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012082",
            "telephone_number": "818-797-2225",
            "fax_number": "818-991-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANOFF",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.