Active NPI
Floyd Scott Villines, D.C.
- Chiropractor
- Perry, OK
National Provider Identifier
1053351379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4305
- Practice address
- 637 Delaware St
Perry, OK 73077-6635 - Phone
- (405) 987-3662
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6497 | TX | |
| Chiropractor | 111N00000X | 4305 | OK | Primary |
Addresses
Primary practice location
637 Delaware St
Perry, OK 73077-6635
Mailing address
6404 S Prairie Rd
Stillwater, OK 74074-6102
Phone (469) 450-6280
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605062 | Medicaid | TX | |
| 001783201 | Medicaid | TX | |
| 8M5360 | Other | TX | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4305 | OK | MD | Chiropractor |
| 6497 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destin Legacy Inc | Chiropractor | Current | Accepting new patients |
| Villines Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
2200 Los Rios Blvd
Ste 127
Plano, TX 75074
Phone (972) 424-4266
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Plano, TX
- NPI 1629253265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1053351379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 S PRAIRIE RD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740746102",
"telephone_number": "469-450-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 DELAWARE ST",
"city": "PERRY",
"state": "OK",
"postal_code": "730776635",
"telephone_number": "405-987-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLINES",
"first_name": "FLOYD",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6497",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "605062",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001783201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8M5360",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perry, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.