IKEDA FAMILY CHIROPRACTIC INC (NPI# 1417130576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417130576 |
| Entity Type | Organization |
| Organization Name | IKEDA FAMILY CHIROPRACTIC INC |
| Practice Address |
23659 Columbus Rd Suite 2a Columbus NJ 08022-1980 |
| Mailing Address |
23659 Columbia Road Suite 2a Columbus NJ 08022-1979 |
| Practice Telephone | 6092987700 |
| Practice Fax Number | 6092987724 |
| Mailing Telephone | 6092987700 |
| Mailing Fax Number | 6092987724 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | DR. DAVID W IKEDA (CHIROPRACTOR) |
| Authorized Official Telephone | 6092987700 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00530400 | NJ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON BLUE CROSS | 2269303000 | 01 |
| Street Address |
23659 COLUMBUS RD SUITE 2A |
| City | COLUMBUS |
| State | NJ |
| Zip Code | 08022-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538142054 | Robert J Bross | Family Medicine | 23659 Columbus Rd, Suite 4, Columbus, NJ 08022-1979 | 2005-11-29 |
| 1477065191 | Tiffany Luma | Nurse Practitioner | 23659 Columbus Rd, Columbus, NJ 08022-1980 | 2017-11-03 |
| 1467908319 | Zachary A Friedman | Physical Therapist | 23659 Columbus Rd, Mansfield Center Suite 3, Columbus, NJ 08022-1980 | 2016-08-31 |
| 1740646330 | Meghan Klouser | Occupational Therapist | 23659 Columbus Rd, Suite 3, Columbus, NJ 08022-1980 | 2016-01-12 |
| 1861860256 | Toni Michelle Seibert | Nurse Practitioner | 23659 Columbus Rd, Suite 4, Columbus, NJ 08022-1980 | 2015-09-02 |
| 1003282302 | Corrie Bailey | Physical Therapist | 23659 Columbus Rd, Columbus, NJ 08022-1980 | 2015-08-20 |
| 1538566120 | Rebecca A Rizzo | Physical Therapist | 23659 Columbus Rd, Suite 3, Columbus, NJ 08022-1980 | 2014-11-25 |
| 1780991265 | Zach M Reid | Physical Medicine & Rehabilitation | 23659 Columbus Rd, Unit 3, Columbus, NJ 08022-1980 | 2010-09-07 |
| 1558688986 | Christopher Vare | Family Medicine | 23659 Columbus Rd, Suite 4, Columbus, NJ 08022-1980 | 2010-04-25 |
| 1134458334 | Robert Bruce Arthur Jr. | Dentist | 23659 Columbus Rd, # 1, Columbus, NJ 08022-1980 | 2009-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053824284 | Whitney Gould | Physical Therapist | 23204 Colubus Road, Homestead Plaza II, Columbus, NJ 08022 | 2017-11-09 |
| 1902286693 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1182 Hedding Rd, Columbus, NJ 08022 | 2015-06-08 |
| 1649547621 | Eric Brian Pullen | Pharmacist | 25 Homestead Drive Suite F, Boyds Pharmacy of Mansfield,inc, Columbus, NJ 08022 | 2011-11-19 |
| 1730478165 | Alicia Thornton | Physical Therapy Assistant | 51 Birmingham Drive, Columbus, NJ 08022 | 2011-04-06 |
| 1801063508 | Lisa Antas | Veterinarian | 3075 Rte 206, Columbus, NJ 08022 | 2008-05-12 |
| 1477729044 | Howard William Redlus | Veterinarian | 3075 Rte 206 S Columbus Central Veterinary Hospital, Columbus, NJ 08022 | 2008-05-05 |
| 1225175011 | Jaeok Cha | Psychiatry & Neurology | 45 Homestead Drive, Suite B, Columbus, NJ 08022 | 2007-01-31 |
| 1104984822 | The Foot and Ankle Group PC | Podiatrist | 1 Sheffield Drive, Columbus, NJ 08022 | 2006-12-05 |
| 1699846113 | Kennedy Health System Assisted Living | Assisted Living Facility | .3501 West Chapel Avenue, Cherry Hill, NJ 08022 | 2006-11-13 |
| 1629076625 | Rim Al-bezem | Internal Medicine | 23203 Columbus Rd Ste 1, Columbus, NJ 08022 | 2005-07-13 |
| Find all providers in zip 08022 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044002 | Apollo Family Chiropractic LLC | Chiropractor | 3520 Snouffer Rd Ste 202, Columbus, OH 43235-2794 | 2020-08-22 |
| 1417567900 | Bennett Holt | Chiropractor | 3215 22nd St Ste C, Columbus, NE 68601-3181 | 2020-08-09 |
| 1477163244 | Mitchell-lee Wade | Chiropractor | 7646 Schomburg Rd, Columbus, GA 31909-1816 | 2020-08-05 |
| 1174133219 | Britt Chiropractic, LLC | Chiropractor | 2325a Martin Luther King Jr Dr, Columbus, MS 39705-2640 | 2020-08-04 |
| 1417593021 | Cir I | Chiropractor | 3901 E Livingston Ave Ste 102, Columbus, OH 43227-2302 | 2019-11-19 |
| 1093351603 | Cir II | Chiropractor | 2021 E Dublin Granville Rd Ste 145, Columbus, OH 43229-3591 | 2019-11-19 |
| 1184268252 | Clear Chiropractic Columbus, LLC | Chiropractor | 3623 25th St, Columbus, IN 47203-3002 | 2019-11-01 |
| 1386291516 | Joshua Kraig Eversman | Chiropractor | 1550 Old Henderson Rd Ste 160, Columbus, OH 43220-3696 | 2019-08-22 |
| 1801443536 | Carly B Cangelosi | Chiropractor | 6298 Veterans Pkwy Ste 10e, Columbus, GA 31909-6253 | 2019-08-19 |
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.