John Kenton Whitham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3935 Issued in OK

Practice address

900 W Kenosha St
Broken Arrow, OK 74012-8917

Phone

(918) 251-8889

Fax

(918) 258-9800

NPI assigned

Aug 3, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Dr. John K. Whitham, PCGroup PAC ID 9931241254, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dr. John K. Whitham, PC

  • Clinic/Center
  • Broken Arrow, OK
  • NPI 1568693919
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1023249471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 W KENOSHA ST",
            "address_2": "#722",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128917",
            "telephone_number": "918-251-8889",
            "fax_number": "918-258-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITHAM",
        "first_name": "JOHN",
        "middle_name": "KENTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Arielle White
• Tenika White
• Valerie Lynn White, R.N.
• Rachel Lynne Whitehouse, D.O.
• Claude Mary Whiteshirt, LPC
• Francesca Whitman
• Lauren Elizabeth Whitney
• Malory Harwell Whitney, MS CCC-SLP
• Kylee Whittle
• Leianna Wichowski, OTR/L

• Chiropractor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.