Graddy Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3866 Issued in OK

Legal business name

GRADDY CHIROPRACTIC PLLC

Practice address

3315 E 47TH PL
Ste. 120
Tulsa, OK 74135-2914

Phone

(918) 622-9655

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christina Marie Graddy, D.CNPI 1013185453

Title

Chiropractor/Owner

Phone

(918) 378-9801

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Christina Marie Graddy, D.C

  • Chiropractor
  • Skiatook, OK
  • NPI 1013185453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1043764533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 E 128TH PL N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740217182",
            "telephone_number": "918-378-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 E 47TH PL",
            "address_2": "STE. 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352914",
            "telephone_number": "918-622-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADDY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "GRADDY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "918-378-9801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013185453",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracewell Homecare LLC
• Gracewood Health & Rehab LLC
• Gracewood Health SNF Operations LLC
• Jasmine Gracey
• Tamara Jeanine Gracey
• Anna Kate Grady
• Rico Grady
• Tamiko Grady
• Gerald William Graefe, OD
• Megan Ellen Graf, LPC

• 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 Aug 12, 2016; 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.