Chiropractic Wellness Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3417 Issued in OK

Legal business name

CHIROPRACTIC WELLNESS CENTER PLLC

Practice address

2442 E 21St St
Tulsa, OK 74114-1749

Phone

(918) 742-0560

Fax

(918) 742-0605

NPI assigned

Aug 29, 2007

Last updated

Sep 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lance A Hoose, DCNPI 1386682722

Title

President

Phone

(918) 742-0560

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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.

• Lance A Hoose, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1386682722
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1083808414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141749",
            "telephone_number": "918-742-0560",
            "fax_number": "918-742-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141749",
            "telephone_number": "918-742-0560",
            "fax_number": "918-742-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "HOOSE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-742-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00265256",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiro-Fitness Inc
• Chiroconcepts P C
• Chiropractic Care Center of Tulsa PC (Standridge Chiropractic)
• Chiropractic Doctors Inc
• Chiropractic Physician Center
• Dacia Elise Chism, APRN-CNP
• Emily Chism, MS
• Marla Kaye Chisum, CM
• Jennifer Chitwood
• Blake Chlouber

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.