Active NPI
Amin Nekoomand, D.C.
- Chiropractor
- North Liberty, IA
National Provider Identifier
1962854711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 082789
- Practice address
- 595 Country LN Ste 2
North Liberty, IA 52317-9599 - Phone
- (319) 853-0000
- Fax
- (319) 853-0000
- NPI assigned
- Jul 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 082789 | IA | Primary |
Addresses
Primary practice location
595 Country LN Ste 2
North Liberty, IA 52317-9599
Mailing address
595 Country LN Ste 2
North Liberty, IA 52317-9599
Phone (319) 853-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962854711 | Other | IA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082789 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro Today LLC | Chiropractor | Current | Accepting new patients |
Locations
595 Country Ln
Ste 2
North Liberty, IA 52317
Phone (319) 853-0000
Organizations & group practices 1
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.
-
- Chiropractor
- North Liberty, IA
- NPI 1962065003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1962854711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 COUNTRY LN STE 2",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179599",
"telephone_number": "319-853-0000",
"fax_number": "319-853-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 COUNTRY LN STE 2",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179599",
"telephone_number": "319-853-0000",
"fax_number": "319-853-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEKOOMAND",
"first_name": "AMIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-05",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "082789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1962854711",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.