Maggie A. Pack, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3980 Issued in OK

Practice address

26251 Highway 82
Suite 2
Park Hill, OK 74451-3802

Phone

(918) 456-6400

NPI assigned

Apr 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maggie A. Joseph Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tenkiller Family ChiropracitcGroup PAC ID 3870624364, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tenkiller Family Chiropracitc

  • Chiropractor
  • Vian, OK
  • NPI 1770802456
  Medicare reassignment Care Compare group NPD
• Keys Chiropractic Clinic LLC

  • Chiropractor
  • Park Hill, OK
  • NPI 1851685416
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1003133075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26251 HIGHWAY 82",
            "address_2": "SUITE 2",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744513802",
            "telephone_number": "918-456-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26251 HIGHWAY 82",
            "address_2": "SUITE 2",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744513802",
            "telephone_number": "918-456-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "MAGGIE",
        "middle_name": "A.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "JOSEPH",
            "middle_name": "A.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keys Family Health Clinic
• Keys Public School
• Kevin Evins Klinger
• Dorthy Jean Maxey
• April Dawn Miggletto, SLP
• Michele Jeanene Reeves, RN
• Kylee Shae Russell
• Julie M Schaefer
• Tamey Lyn Simmons
• Jerry D Snell II, D.D.S

• Chiropractor in Park Hill, OK
• Providers in Park Hill, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.