Organization Active NPI

Iwanoff Chiropractic

  • Chiropractor
  • Agoura Hills, CA
National Provider Identifier
1992029946
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13558 Issued in CA
Legal business name
IWANOFF CHIROPRACTIC
Practice address
30423 Canwood St
Suite 225
Agoura Hills, CA 91301-2082
Phone
(818) 707-2225
Fax
(818) 991-9070
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Dr. James Thomas Iwanoff, D.C.NPI 1821101148
Title
President
Phone
(818) 707-2225

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 DC13558 CA Primary

Addresses

Primary practice location

30423 Canwood St
Suite 225
Agoura Hills, CA 91301-2082

Mailing address

30423 Canwood St
Suite 225
Agoura Hills, CA 91301-2082
Phone (818) 707-2225

National Provider Directory

National Provider Directory

Locations

30423 Canwood St
Ste 225
Agoura Hills, CA 91301
Phone (818) 707-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1992029946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST",
            "address_2": "SUITE 225",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012082",
            "telephone_number": "818-707-2225",
            "fax_number": "818-991-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD ST",
            "address_2": "SUITE 225",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012082",
            "telephone_number": "818-707-2225",
            "fax_number": "818-991-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWANOFF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "IWANOFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-707-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.