Individual provider Active NPI

Manisha Patel, D.C.

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1104372465
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4232 Issued in OK
Practice address
3209 S Broadway
Ste 217
Edmond, OK 73013-4061
Phone
(405) 726-8330
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4232 OK Primary

Addresses

Primary practice location

3209 S Broadway
Ste 217
Edmond, OK 73013-4061

Mailing address

1305 S Broadway
Edmond, OK 73034-3952
Phone (405) 519-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105001665 OK Practitioner - Chiropractic 7214218288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3209 S Broadway
217 Teera Chiropractic and Acupuncture
Edmond, OK 73013-4063
Phone (405) 519-5011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4232OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Manisha Patel DC, PLLC CurrentSince Nov 21, 2016 Accepting new patients
Knight Wellness Center Chiropractor PastSince Nov 21, 2016 Accepting new patients

Locations

3209 S Broadway
Ste 217
Edmond, OK 73013
Phone (405) 285-9454

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1104372465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343952",
            "telephone_number": "405-519-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 S BROADWAY",
            "address_2": "STE 217",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134061",
            "telephone_number": "405-726-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISHA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.