Michael K Van Antwerp, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3629 Issued in OK

Practice address

5508 S Lewis Ave
Tulsa, OK 74105-7105

Phone

(918) 259-3000

Fax

(918) 259-3002

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mede, LLC

  • Chiropractor
  • Tulsa, OK
  • NPI 1316131139
  Medicare reassignment NPD Authorized official
• Eastern Oklahoma Chiropractic, PLLC

  • Chiropractor
  • Tulsa, OK
  • NPI 1578886925
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1043259393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057105",
            "telephone_number": "918-259-3000",
            "fax_number": "918-259-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057105",
            "telephone_number": "918-259-3000",
            "fax_number": "918-259-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ANTWERP",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "3629",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OK",
            "license": "3629",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittane T Valles, MD
• Valley Hope Association
• Valley Hope Medical Group, LLC
• Valley Hope Solutions, Inc.
• Wilson Babu Valluru
• Jacob Van Buren, MD
• Rebecca Van Der Hagen
• Schuyler Thomas Van Emburg, APRN
• Mark Van Holt
• Mildred Van Horn

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.