Crystal Clear Chiropractic & Rehab

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

3837 Issued in OK

Legal business name

CRYSTAL CLEAR CHIROPRACTIC & REHAB

Practice address

12831 Stratford Dr
Apt. # 207
Oklahoma City, OK 73120-8495

Phone

(405) 314-0900

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chris A Vannarath, D.C.NPI 1548441181

Title

Doctor of Chiropractic

Phone

(405) 314-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Chris A Vannarath, D.C.

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1548441181
  NPD (past) Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1023281003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N CLASSEN BLVD",
            "address_2": "SUITE P",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065422",
            "telephone_number": "405-314-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12831 STRATFORD DR",
            "address_2": "APT. # 207",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208495",
            "telephone_number": "405-314-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR CHIROPRACTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "VANNARATH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "405-314-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OK",
            "license": "3837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1548441181",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Elaine Cruz
• Beneva Kay Cruz, PT
• Morgan Cruz
• Jade Cruzan
• Jeffrey B Cruzan, M.D.
• Crysten Cheatwood DO, PC
• Jason Crytzer, P.A.
• CT Associates No. 1, L.L.C.
• Pamela Dawn Cubas, MA, MFT; LPC-US
• Ashli Marie Cubit, PHLEBOTOMIST

• Health Maintenance Organization in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Health Maintenance Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.