Organization Active NPI

Powell Chiropractic, P.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1104099613
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3679 Issued in OK
Legal business name
POWELL CHIROPRACTIC, P.C.
Practice address
6125 S Sheridan Rd
Suite H
Tulsa, OK 74133-4056
Phone
(918) 477-7909
Fax
(918) 477-7086
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Riley Powell, D.C.
Title
Shareholder
Phone
(918) 477-7909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3679 OK Primary

Addresses

Primary practice location

6125 S Sheridan Rd
Suite H
Tulsa, OK 74133-4056

Mailing address

6125 S Sheridan Rd
Suite H
Tulsa, OK 74133-4056
Phone (918) 477-7909

National Provider Directory

National Provider Directory

Locations

2738 E 51st St
Ste 170
Tulsa, OK 74105
Phone (918) 477-7909

6125 S Sheridan Rd
Ste H
Tulsa, OK 74133
Phone (918) 477-7909

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1104099613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 S SHERIDAN RD",
            "address_2": "SUITE H",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334056",
            "telephone_number": "918-477-7909",
            "fax_number": "918-477-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 S SHERIDAN RD",
            "address_2": "SUITE H",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334056",
            "telephone_number": "918-477-7909",
            "fax_number": "918-477-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "918-477-7909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.