Organization Active NPI

Triad Family Chiropractic, LLC

  • Chiropractor
  • Ponca City, OK
National Provider Identifier
1073881314
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRIAD FAMILY CHIROPRACTIC, LLC
Practice address
3004 Turner St
Ponca City, OK 74604-1512
Phone
(580) 749-5346
Fax
(580) 749-5347
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Marci Jane Lee-McCrory, DCNPI 1588894554
Title
Owner
Phone
(580) 749-5346

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

3004 Turner St
Ponca City, OK 74604-1512

Mailing address

3004 Turner St
Ponca City, OK 74604-1512
Phone (580) 749-5346

National Provider Directory

National Provider Directory

Locations

3004 Turner St
Ponca City, OK 74604
Phone (580) 749-5346

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": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1073881314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 TURNER ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746041512",
            "telephone_number": "580-749-5346",
            "fax_number": "580-749-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 TURNER ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746041512",
            "telephone_number": "580-749-5346",
            "fax_number": "580-749-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "LEE-MCCRORY",
        "authorized_official_first_name": "MARCI",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-749-5346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.