Active NPI
Prentice Family Chiropractic PLLC
- Chiropractor
- Jenks, OK
National Provider Identifier
1104991280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3725
- Legal business name
- PRENTICE FAMILY CHIROPRACTIC PLLC
- Practice address
- 9428 S Elwood Ave
Suite 102
Jenks, OK 74037-2317 - Phone
- (918) 296-0525
- Fax
- (918) 296-0526
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Marie Prentice
- Title
- Office Manager
- Phone
- (918) 296-0525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3725 | OK | Primary |
Addresses
Primary practice location
9428 S Elwood Ave
Suite 102
Jenks, OK 74037-2317
Mailing address
9428 S Elwood Ave
Suite 102
Jenks, OK 74037-2317
Phone (918) 296-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443769532002 | Other | OK | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
9428 S Elwood Ave
Ste 102
Jenks, OK 74037
Phone (918) 296-0525
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jenks, OK
- NPI 1134101322
-
- Chiropractor
- Jenks, OK
- NPI 1518955947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104991280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9428 S ELWOOD AVE",
"address_2": "SUITE 102",
"city": "JENKS",
"state": "OK",
"postal_code": "740372317",
"telephone_number": "918-296-0525",
"fax_number": "918-296-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9428 S ELWOOD AVE",
"address_2": "SUITE 102",
"city": "JENKS",
"state": "OK",
"postal_code": "740372317",
"telephone_number": "918-296-0525",
"fax_number": "918-296-0526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRENTICE FAMILY CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRENTICE",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "918-296-0525"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "3725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "443769532002",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.