Organization Active NPI

Silverlake Health and Wellness Center PC

  • Chiropractor
  • Bartlesville, OK
National Provider Identifier
1033294343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2474 Issued in OK
Legal business name
SILVERLAKE HEALTH AND WELLNESS CENTER PC
Practice address
2401 Nowata PL
Bartlesville, OK 74006-4753
Phone
(918) 331-5390
Fax
(918) 331-5347
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karen Faye Wallis, DC
Title
President
Phone
(918) 331-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2474 OK Primary

Addresses

Primary practice location

2401 Nowata PL
Bartlesville, OK 74006-4753

Mailing address

2401 Nowata PL
Bartlesville, OK 74006-4753
Phone (918) 331-5390

Other identifiers 2

IdentifierTypeStateIssuer
444546930003OtherOKBCBS
5129060OtherOKAETNA

National Provider Directory

National Provider Directory

Locations

2401 Nowata Pl
Bartlesville, OK 74006
Phone (918) 331-5390

Practitioners & affiliated clinicians

Practitioners 1

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033294343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064753",
            "telephone_number": "918-331-5390",
            "fax_number": "918-331-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064753",
            "telephone_number": "918-331-5390",
            "fax_number": "918-331-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERLAKE HEALTH AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-331-5390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "444546930003",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5129060",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.