Organization Active NPI

Wiersig Chiropractic Clinic

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1043405772
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3048 Issued in OK
Legal business name
WIERSIG CHIROPRACTIC CLINIC
Practice address
2013 S Air Depot Blvd
Oklahoma City, OK 73110-5523
Phone
(405) 737-5653
Fax
(405) 733-5656
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Ricky D Wiersig, D.C.
Title
Owner
Phone
(405) 737-5653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3048 OK Primary

Addresses

Primary practice location

2013 S Air Depot Blvd
Oklahoma City, OK 73110-5523

Mailing address

2013 S Air Depot Blvd
Midwest City, OK 73110-5523
Phone (405) 737-5653

Other identifiers 1

IdentifierTypeStateIssuer
443545904001OtherOKBLUE CROSS

National Provider Directory

National Provider Directory

Locations

2013 S Air Depot Blvd
Oklahoma City, OK 73110
Phone (405) 736-6850

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1043405772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105523",
            "telephone_number": "405-737-5653",
            "fax_number": "405-733-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 S AIR DEPOT BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731105523",
            "telephone_number": "405-737-5653",
            "fax_number": "405-733-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIERSIG CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "WIERSIG",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-737-5653",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "443545904001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.