NPIMap

Organization Active NPI

Health Source of Keokuk

  • Chiropractor
  • Keokuk, IA
National Provider Identifier
1871758243
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007102 Issued in IA
Legal business name
HEALTH SOURCE OF KEOKUK
Practice address
31 S 31St St
Suite 1
Keokuk, IA 52632-2264
Phone
(319) 524-3339
NPI assigned
Jul 24, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Jason James, DCNPI 1831301514
Title
President
Phone
(319) 524-3339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007102 IA Primary

Addresses

Primary practice location

31 S 31St St
Suite 1
Keokuk, IA 52632-2264

Mailing address

31 S 31St St
Suite 1
Keokuk, IA 52632-2264
Phone (319) 524-3339

National Provider Directory

National Provider Directory

Locations

31 S 31st St
Ste 1
Keokuk, IA 52632
Phone (319) 524-3339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1871758243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S 31ST ST",
            "address_2": "SUITE 1",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322264",
            "telephone_number": "319-524-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S 31ST ST",
            "address_2": "SUITE 1",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322264",
            "telephone_number": "319-524-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE OF KEOKUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-524-3339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keokuk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.