Individual provider Active NPI

Janna Marie Cottingame, D.C.

  • Chiropractor
  • Durant, OK
National Provider Identifier
1114210556
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4029 Issued in OK
Practice address
3004 W University Blvd Ste 101
Durant, OK 74701-2999
Phone
(580) 920-2555
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4029 OK Primary

Addresses

Primary practice location

3004 W University Blvd Ste 101
Durant, OK 74701-2999

Mailing address

1259 N Washington Ave
Durant, OK 74701-2119
Phone (580) 920-2555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000485 OK Practitioner - Chiropractic 0648366443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39543 US Hwy 70
Bennington, OK 74723-1857
Phone (580) 916-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4029OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Chiropractic and Wellness Center LLC Chiropractor CurrentSince Mar 19, 2023 Accepting new patients

Locations

1259 N Washington Ave
Durant, OK 74701
Phone (580) 920-2555

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1114210556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-920-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 W UNIVERSITY BLVD STE 101",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012999",
            "telephone_number": "580-920-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTINGAME",
        "first_name": "JANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "DC4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.