NPIMap

Organization Active NPI

Awaken Health and Wellness Center

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1093311995
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AWAKEN HEALTH AND WELLNESS CENTER
Practice address
3409 S Broadway Ste 801
Edmond, OK 73013-4129
Phone
(405) 515-9355
NPI assigned
Dec 7, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Dr. Jared LaneNPI 1487250379
Title
Owner
Phone
(903) 724-5505

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 NU Primary
Nutrition Chiropractor 111NN1001X NU

Addresses

Primary practice location

3409 S Broadway Ste 801
Edmond, OK 73013-4129

Mailing address

157 Stonebridge Blvd Apt 2232
Edmond, OK 73013-4775

Other names 1

  • Awaken Chiropractic and Wellness Center Other name

National Provider Directory

National Provider Directory

Locations

3409 S Broadway
Ste 801
Edmond, OK 73013
Phone (405) 515-9355

Practitioners & affiliated clinicians

Practitioners 2

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": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1093311995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 STONEBRIDGE BLVD APT 2232",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 S BROADWAY STE 801",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134129",
            "telephone_number": "405-515-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-724-5505",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awaken Chiropractic and Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

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