Organization Active NPI

O'Reilly Chiropractic P.C.

  • Chiropractor
  • Muskogee, OK
National Provider Identifier
1083645261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3383 Issued in OK
Legal business name
O'REILLY CHIROPRACTIC P.C.
Practice address
3103 Azalea Park Dr
Suite C
Muskogee, OK 74401-2210
Phone
(918) 682-2225
Fax
(918) 682-2234
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patrick T O'Reilly, D.C.NPI 1962543421
Title
Clinic Director
Phone
(918) 682-2225

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 3383 OK Primary

Addresses

Primary practice location

3103 Azalea Park Dr
Suite C
Muskogee, OK 74401-2210

Mailing address

3103 Azalea Park Dr
Suite C
Muskogee, OK 74401-2210
Phone (918) 682-2225

Other names 1

  • O'REILLY CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000183 OK Part B Supplier - Clinic/Group Practice 1052592821 Receives reassigned benefits from 1 practitioner
Practice locations: Muskogee, OK

National Provider Directory

National Provider Directory

Locations

3103 Azalea Park Dr
Ste C
Muskogee, OK 74401
Phone (918) 682-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083645261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 AZALEA PARK DR",
            "address_2": "SUITE C",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012210",
            "telephone_number": "918-682-2225",
            "fax_number": "918-682-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 AZALEA PARK DR",
            "address_2": "SUITE C",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012210",
            "telephone_number": "918-682-2225",
            "fax_number": "918-682-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'REILLY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "918-682-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'REILLY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.