Standridge Clinic Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2448 Issued in OK

Legal business name

STANDRIDGE CLINIC INC

Practice address

12707 E 86TH St N
Owasso, OK 74055-2506

Phone

(918) 272-7432

Fax

(918) 272-7448

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Tracy L Standridge, D.C.NPI 1184798050

Title

Owner

Phone

(918) 272-7432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Tracy L. Standridge, D.C.

  • Rehabilitation Chiropractor
  • Owasso, OK
  • NPI 1184798050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1033271655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 E. 86TH ST. N.",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-272-7432",
            "fax_number": "918-272-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552506",
            "telephone_number": "918-272-7432",
            "fax_number": "918-272-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDRIDGE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "STANDRIDGE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-272-7432",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Foster Care of Oklahoma, Inc.
• Jacob Spurlock, DPH
• SRH Counseling LLC
• St. John Encompass Health Rehabilitation Hospital, LLC (Ascension St. John Rehabilitation Hospital of Owasso, an affiliate of)
• John Stahl
• Tracy L. Standridge, D.C.
• Audrey Melissa Stanton, D.O.
• David Taylor Stapleton, DDS
• Amber Stark
• Laura Staufenberg

• Rehabilitation Chiropractor in Owasso, OK
• Providers in Owasso, OK by specialty
• Rehabilitation Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.