Organization Active NPI

Isakson Chiropractic Health Center P.C.

  • Chiropractor
  • Sioux Center, IA
National Provider Identifier
1871838482
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04619 Issued in IA
Legal business name
ISAKSON CHIROPRACTIC HEALTH CENTER P.C.
Practice address
1149 First Avenue SE
Sioux Center, IA 51250-1200
Phone
(712) 722-0071
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Gerald E. Isakson, D.C.NPI 1629019435
Title
President
Phone
(712) 722-0071

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 04619 IA Primary

Addresses

Primary practice location

1149 First Avenue SE
Sioux Center, IA 51250-1200

Mailing address

1149 First Avenue SE
Sioux Center, IA 51250-1200
Phone (712) 722-0071

Other identifiers 1

IdentifierTypeStateIssuer
0147413MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130201000166 IA Part B Supplier - Clinic/Group Practice 5092969873 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux Center, IA

National Provider Directory

National Provider Directory

Locations

815 N Main Ave
Ste 5
Sioux Center, IA 51250
Phone (712) 722-0071

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1871838482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 FIRST AVENUE SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501200",
            "telephone_number": "712-722-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 FIRST AVENUE SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501200",
            "telephone_number": "712-722-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAKSON CHIROPRACTIC HEALTH CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "ISAKSON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-722-0071",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147413",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.