NPIMap

Organization Active NPI

Accident Care Clinic

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1083801203
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3420 Issued in OK
Legal business name
ACCIDENT CARE CLINIC
Practice address
12316 N May Ave Ste B
7349 S. Western Ave
Oklahoma City, OK 73120-1944
Phone
(405) 936-9900
Fax
(405) 936-9055
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Robert D Boggs, D.C.NPI 1336210160
Title
President
Phone
(405) 636-4078

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3420 OK Primary
Chiropractor 111N00000X 3462 OK

Addresses

Primary practice location

12316 N May Ave Ste B
7349 S. Western Ave
Oklahoma City, OK 73120-1944

Mailing address

12316 N May Ave Ste B
7349 S. Western Ave
Oklahoma City, OK 73120-1944
Phone (405) 936-9900

National Provider Directory

National Provider Directory
Tax ID family
Accident Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12316 N May Ave
#B
Oklahoma City, OK 73120
Phone (405) 773-8000

Practitioners & affiliated clinicians

Practitioners 3

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1083801203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12316 N MAY AVE STE B",
            "address_2": "7349 S. WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201944",
            "telephone_number": "405-936-9900",
            "fax_number": "405-936-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12316 N MAY AVE STE B",
            "address_2": "7349 S. WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201944",
            "telephone_number": "405-936-9900",
            "fax_number": "405-936-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-636-4078",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3420",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.