Active NPI
Isakson Chiropractic Health Center P.C.
- Chiropractor
- Sioux Center, IA
National Provider Identifier
1871838482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04619
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald E. Isakson, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0147413 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Chiropractor
- Sioux Center, IA
- NPI 1629019435
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.