Shaloam Ofisa, D.C., M.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1603 Issued in ID

Practice address

1800 Flandro Dr
Suite 130
Pocatello, ID 83202

Phone

(208) 221-2973

NPI assigned

May 22, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Art of Motion Chiropractic and Sports Medicine PLLCGroup PAC ID 8527288612, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Art of Motion Chiropractic and Sports Medicine PLLC

  • Chiropractor
  • Pocatello, ID
  • NPI 1780096990
  Medicare reassignment Care Compare group NPD Authorized official
• Anew Day Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Pocatello, ID
  • NPI 1972224103
  NPD Authorized official
• Health Atlast Pocatello LLC

  • Physical Medicine & Rehabilitation Physician
  • Pocatello, ID
  • NPI 1235789249

  Chiropractor

  NPD Authorized official

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1952713166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR",
            "address_2": "SUITE 130",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024912",
            "telephone_number": "208-242-3723",
            "fax_number": "208-904-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR",
            "address_2": "SUITE 130",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83202",
            "telephone_number": "208-221-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFISA",
        "first_name": "SHALOAM",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952713166",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saeward O'Neill, LPC
• Oak Mountain Dental PLLC
• Oasis Counseling, LLC
• Obsidian Counseling LLC
• Melissa Odegard, LPC
• Jordan Ohmie, DPT
• Kelley J Olenick, AU.D.
• Kathleen Olivarez
• Rachelle Oliverson, MPT
• Blaine Olsen, D.O.

• Chiropractor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.