Organization Active NPI

Favorite Chiropractic

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1124276944
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3865 Issued in OK
Legal business name
FAVORITE CHIROPRACTIC
Practice address
14101 N May Ave Ste 105
Oklahoma City, OK 73134-5071
Phone
(405) 753-9793
Fax
(405) 753-9769
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Dr. Marcus Bradley Favorite, D.C.NPI 1982878781
Title
Owner/President
Phone
(972) 953-7896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3865 OK Primary

Addresses

Primary practice location

14101 N May Ave Ste 105
Oklahoma City, OK 73134-5071

Mailing address

14101 N May Ave Ste 105
Oklahoma City, OK 73134-5071
Phone (405) 753-9793

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000336 OK Part B Supplier - Clinic/Group Practice 5395896195 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

14101 N May Ave
Ste 105
Oklahoma City, OK 73134
Phone (405) 753-9793

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": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1124276944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 N MAY AVE STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731345071",
            "telephone_number": "405-753-9793",
            "fax_number": "405-753-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 N MAY AVE STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731345071",
            "telephone_number": "405-753-9793",
            "fax_number": "405-753-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVORITE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "FAVORITE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-953-7896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.