Organization Active NPI

Newcomb Chiropractic Clinic Inc PC

  • Chiropractor
  • Broken Arrow, OK
National Provider Identifier
1023343183
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEWCOMB CHIROPRACTIC CLINIC INC PC
Practice address
400 N Main St
Ste 1
Broken Arrow, OK 74012-3962
Phone
(918) 251-4239
Fax
(918) 258-7200
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Dr. Robert Brent Newcomb, DCNPI 1164582227
Title
President
Phone
(918) 251-4239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

400 N Main St
Ste 1
Broken Arrow, OK 74012-3962

Mailing address

400 N Main St
Ste 1
Broken Arrow, OK 74012-3962
Phone (918) 251-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100902000076 OK Part B Supplier - Clinic/Group Practice 4688798382 Receives reassigned benefits from 2 practitioners
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

400 N Main St
Ste 1
Broken Arrow, OK 74012
Phone (918) 251-4239

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1023343183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "address_2": "STE 1",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123962",
            "telephone_number": "918-251-4239",
            "fax_number": "918-258-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "address_2": "STE 1",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123962",
            "telephone_number": "918-251-4239",
            "fax_number": "918-258-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCOMB CHIROPRACTIC CLINIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-251-4239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.