Ira B Isaacoff, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2301007419 Issued in MI

Practice address

955 E Breasbois CT
Midland, MI 48640-9500

Phone

(989) 832-9200

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861404576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E BREASBOIS CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409500",
            "telephone_number": "989-832-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E BREASBOIS CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409500",
            "telephone_number": "989-832-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACOFF",
        "first_name": "IRA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MI",
            "license": "2301007419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4302716",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inter-Disciplinary Advantage, Inc.
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• Michael Ireland
• Brooke Irish, PA-C
• Joseph M Irmen, DDS
• Michael John Iseman
• Sheila A Isles-Truax, PT,FAAOMPT
• Mohamed S Ismaeil, MD
• Madeline Alaine Isola
• Omosalewa Itauma, M.D.

• Sports Physician Chiropractor in Midland, MI
• Providers in Midland, MI by specialty
• Sports Physician Chiropractor in Michigan

• 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.