Inside Out Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4246 Issued in OK

Legal business name

INSIDE OUT CHIROPRACTIC LLC

Practice address

7891 E 108TH St
Suite 16
Tulsa, OK 74133-7405

Phone

(918) 984-1564

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Duvall, DCNPI 1235663592

Title

Owner

Phone

(918) 984-1564

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Duvall, DC

  • Chiropractor
  • Tulsa, OK
  • NPI 1235663592
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Arthur Heydinger, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1629003777
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1003340365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 E 108TH ST",
            "address_2": "SUITE 16",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337405",
            "telephone_number": "918-984-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 E 108TH ST",
            "address_2": "SUITE 16",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337405",
            "telephone_number": "918-984-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDE OUT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-984-1564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Insight Psychological Services
• Inspire Med Spa Tulsa
• Inspired 2 Empower, LLC
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• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.