IKC, LLC (NPI# 1659904803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659904803 |
Entity Type | Organization |
Organization Name | IKC, LLC |
Practice Address |
8736 Nw 27th Court Ankeny IA 50023 |
Practice Telephone | 5159881584 |
Mailing Telephone | 5159881584 |
Enumeration Date | 2020-02-17 |
Last Update Date | 2020-02-17 |
Authorized Official Name | SHAWN C TULP (CHIEF OPERATIONS OFFICER) |
Authorized Official Telephone | 5203905411 |
Authorized Official Credential | RN, CRNA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Iowa Ketamine Clinic | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | IKC, LLC | 8736 Nw 27th Ct, Ankeny, IA 50023 |
Street Address |
8736 NW 27TH COURT |
City | ANKENY |
State | IA |
Zip Code | 50023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
1023663994 | Janet Lynn Rieckhoff | Counselor | 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 | 2019-08-07 |
1790344158 | Jacquelyn Olson Leech | Counselor | 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 | 2019-06-10 |
1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
1831657857 | Michael E Mcinroy | Counselor | 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 | 2019-03-08 |
1396231825 | Catherine Walters | Counselor | 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 | 2018-07-09 |
1053804617 | Ankeny Family Counseling | Counselor | 2301 W. 1st St. #4, Ankeny, IA 50023 | 2018-06-08 |
1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
1023555125 | Brandon Kyle Boston | Chiropractor | 520 Sw 3rd St Suite 1b, Ankeny, IA 50023 | 2017-01-26 |
Find all providers in zip 50023 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619512845 | Rebound Chiropractic and Sports Medicine, LLC | Clinic/Center | 1201 Sw State St., Suite 111, Ankeny, IA 50023-5002 | 2019-11-12 |
1629437975 | Mullin Chiropractic | Clinic/Center | 2201 W 1st St Ste 3, Ankeny, IA 50023-2484 | 2016-02-15 |
1538342662 | Mercy Clinics Inc | Clinic/Center | 302 Sw Walnut St, Ankeny, IA 50023-3042 | 2007-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598659 | Walke Dentistry Pllc - Series 1 | Clinic/Center | 511 N Bluff St, Guttenberg, IA 52052-9465 | 2020-11-06 |
1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
1861039927 | New Horizon Mental Health & Wellness | Clinic/Center | 600 4th St Ste 202, Sioux City, IA 51101-1605 | 2019-12-06 |
1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
1063971166 | Developmental Wellness, LLC | Clinic/Center | 5500 240th St, Ames, IA 50014-9501 | 2019-03-18 |
1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
1578054698 | Ideal Option, Pllc | Clinic/Center | 817 Tower Park Drive, Waterloo, IA 50701-9027 | 2018-05-24 |
1417448754 | Ideal Option, Pllc | Clinic/Center | 4125 Gordon Dr, Sioux City, IA 51106-1304 | 2018-05-22 |
1770005068 | Mueller Chiropractic & Wellness Inc | Clinic/Center | 700 Main St Ste 213, Pella, IA 50219-1680 | 2017-07-09 |
1912304668 | Mercy Clinics, Inc | Clinic/Center | 2006 N 4th St, Indianola, IA 50125-4500 | 2014-11-24 |
Find all providers with the same taxonomy |
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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.