Active NPI
Todd Allen East, DC
- Chiropractor
- Grove, OK
National Provider Identifier
1083718720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3331
- Practice address
- 80 W 7TH St
Grove, OK 74344-3403 - Phone
- (918) 787-6700
- Fax
- (918) 787-2846
- NPI assigned
- Sep 12, 2006
- Last updated
- Aug 26, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3331 | OK | Primary |
Addresses
Primary practice location
80 W 7TH St
Grove, OK 74344-3403
Mailing address
80 W 7TH St
Grove, OK 74344-3403
Phone (918) 787-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20051200A | Medicaid | OK | |
| P00167123 | Other | OK | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
80 W 7TH St
Grove, OK 74344-3403
Phone (918) 787-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3331 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Chiropractic Health and Rehabilitation LLC | Chiropractor | Current | Accepting new patients |
| Jay Chiropractic Health and Rehabilitation, LLC | Past | Accepting new patients |
Locations
80 W 7th St
Grove, OK 74344
Phone (918) 787-6700
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.
-
dba East Wellness
- Chiropractor
- Grove, OK
- NPI 1346317278
-
dba East Wellness
- Preferred Provider Organization
- Grove, OK
- NPI 1841690831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1083718720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 W 7TH ST",
"city": "GROVE",
"state": "OK",
"postal_code": "743443403",
"telephone_number": "918-787-6700",
"fax_number": "918-787-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 W 7TH ST",
"city": "GROVE",
"state": "OK",
"postal_code": "743443403",
"telephone_number": "918-787-6700",
"fax_number": "918-787-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAST",
"first_name": "TODD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20051200A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00167123",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.