Southwest Knee & Shoulder Center, PLLC.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3998 Issued in OK

Legal business name

SOUTHWEST KNEE & SHOULDER CENTER, PLLC.

Practice address

7796 US Highway 277
Elgin, OK 73538-2131

Phone

(580) 492-4441

Fax

(580) 492-4461

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Scott Jenkins, DC

Title

Owner

Phone

(580) 492-4441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1093025652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7796 US HIGHWAY 277 STE D",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735382131",
            "telephone_number": "580-492-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7796 US HIGHWAY 277",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735382131",
            "telephone_number": "580-492-4441",
            "fax_number": "580-492-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KNEE & SHOULDER CENTER, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-492-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "3998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Elgin, OK
• Providers in Elgin, OK by specialty
• Rehabilitation Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.