Organization Active NPI

Laudenback Chiropractic

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1053578401
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3595 Issued in OK
Legal business name
LAUDENBACK CHIROPRACTIC
Practice address
913 N 161St East Ave
E
Tulsa, OK 74116-4106
Phone
(918) 672-2734
Fax
(918) 439-0222
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Larry D Laudenback, D.C.NPI 1598831448
Title
Chiropractic
Phone
(918) 672-2734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3595 OK Primary

Addresses

Primary practice location

913 N 161St East Ave
E
Tulsa, OK 74116-4106

Mailing address

4322 E 66TH St
3-I
Tulsa, OK 74136-1642
Phone (918) 672-2734

National Provider Directory

National Provider Directory

Locations

913 N 161st East Ave
Ste E
Tulsa, OK 74116
Phone (918) 672-2734

Practitioners & affiliated clinicians

Practitioners 2

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1053578401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 E 66TH ST",
            "address_2": "3-I",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361642",
            "telephone_number": "918-672-2734",
            "fax_number": "918-439-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N 161ST EAST AVE",
            "address_2": "E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741164106",
            "telephone_number": "918-672-2734",
            "fax_number": "918-439-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDENBACK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "LAUDENBACK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "918-672-2734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.