Renew Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENEW CHIROPRACTIC LLC

Practice address

7319 Northshore Dr
Tuttle, OK 73089-8994

Phone

(405) 237-5812

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Katherine Locke, DCNPI 1811585037

Title

Managing Member, Chiropractor

Phone

(405) 237-5812

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Locke, DC

  • Chiropractor
  • Edmond, OK
  • NPI 1811585037
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1093593055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 NORTHSHORE DR",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898994",
            "telephone_number": "405-237-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 NORTHSHORE DR",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898994",
            "telephone_number": "405-237-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MANAGING MEMBER, CHIROPRACTOR",
        "authorized_official_telephone_number": "405-237-5812",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811585037",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Michelle Pagel, MS, CCC-SLP
• Partners in Health Multicare Clinic
• Tesa Alice Penrod
• Savannah Polson, DC
• PSG-Tuttle, LLC
• Brylee Russell, PTA
• Caitlin Lee Schroeder, DNP, APRN, FNP-C
• Serene Childbirth Services LLC
• Elizabeth Sue Shay
• Tonna Shoffit, BA SOCIOLOGY

• Clinic/Center in Tuttle, OK
• Providers in Tuttle, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.