Wiersig Chiropractic Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

3048 Issued in OK

Legal business name

WIERSIG CHIROPRACTIC INC

Practice address

2013 S. Air Depot Blvd
Midwest City, OK 73110-5523

Phone

(405) 737-5653

Fax

(405) 733-5656

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ricky Darren Wiersig

Title

Owner

Phone

(405) 737-5653

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1003116385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 S. AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105523",
            "telephone_number": "405-737-5653",
            "fax_number": "405-733-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 S. AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105523",
            "telephone_number": "405-737-5653",
            "fax_number": "405-733-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIERSIG CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "WIERSIG",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "DARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-737-5653",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OK",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OKA102034",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Jaye Whitehead, MA
• Patrice Whitfield, B.S., M.S., BHRS
• Lisa Marie Whitton
• Wholehearted Therapy LLC
• Reginald L Widener
• Don Wilber, M.D
• Diamond Wilburn
• Abby Raeanna Williams
• Chelsea Alexis Williams
• Emily Williams

• Exclusive Provider Organization in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Exclusive Provider Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.