Organization Active NPI

Tanner Oxford D.C. LLC

Doing business as Quartz Mountain Chiropractic

  • Chiropractor
  • Altus, OK
National Provider Identifier
1073341632
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TANNER OXFORD D.C. LLC
Doing business as
Quartz Mountain Chiropractic
Practice address
901 Falcon Rd
Altus, OK 73521-2833
Phone
(580) 335-1977
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Dr. Tanner Oxford, D.C.NPI 1821733916
Title
Owner
Phone
(580) 335-1977

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

901 Falcon Rd
Altus, OK 73521-2833

Mailing address

901 Falcon Rd
Altus, OK 73521-2833

Other names 1

  • Quartz Mountain Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241011003665 OK Part B Supplier - Clinic/Group Practice 9931631108 Receives reassigned benefits from 1 practitioner
Practice locations: Altus, OK

National Provider Directory

National Provider Directory

Locations

901 Falcon Rd
Altus, OK 73521
Phone (580) 301-6692

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1073341632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FALCON RD",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735212833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FALCON RD",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735212833",
            "telephone_number": "580-335-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER OXFORD D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "OXFORD",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-335-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quartz Mountain Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.