NPIMap

Organization Active NPI

Dwyer Chiropractic Clinic PC

  • Chiropractor
  • Midwest City, OK
National Provider Identifier
1033257993
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3647 Issued in OK
Legal business name
DWYER CHIROPRACTIC CLINIC PC
Doing business as
Dwyer Chiropractic Clinic
Practice address
1401 S Douglas Blvd
Ste W
Midwest City, OK 73130-5200
Phone
(405) 733-3955
Fax
(405) 733-4014
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Harvey Wade Dwyer, D.C.
Title
Doctor/Owner
Phone
(405) 733-3955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3647 OK Primary

Addresses

Primary practice location

1401 S Douglas Blvd
Ste W
Midwest City, OK 73130-5200

Mailing address

1401 S Douglas Blvd
Ste W
Midwest City, OK 73130-5200
Phone (405) 733-3955

Other identifiers 1

IdentifierTypeStateIssuer
3647OtherOKSTATE LIC NUMBER

Other names 1

  • Dwyer Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1401 S Douglas Blvd
Ste W
Oklahoma City, OK 73130
Phone (405) 733-3955

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1033257993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S DOUGLAS BLVD",
            "address_2": "STE W",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305200",
            "telephone_number": "405-733-3955",
            "fax_number": "405-733-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S DOUGLAS BLVD",
            "address_2": "STE W",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305200",
            "telephone_number": "405-733-3955",
            "fax_number": "405-733-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWYER CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "405-733-3955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC NUMBER",
            "identifier": "3647",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dwyer Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.