Organization Active NPI

Elliott Center of Chiropractic PLLC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1124472907
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELLIOTT CENTER OF CHIROPRACTIC PLLC
Practice address
7110 S. Mingo Rd
Ste 107
Tulsa, OK 74133-3273
Phone
(918) 252-9915
Fax
(918) 252-9102
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Dr. Lori D. Sprague, D.C.NPI 1326190190
Title
Managing Member
Phone
(918) 252-9915

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 OK Primary

Addresses

Primary practice location

7110 S. Mingo Rd
Ste 107
Tulsa, OK 74133-3273

Mailing address

7110 S. Mingo Rd.
Ste 107
Tulsa, OK 74133-3273
Phone (918) 252-9915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160509000361 OK Part B Supplier - Clinic/Group Practice 8820397151 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1124472907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 S. MINGO RD.",
            "address_2": "STE 107",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333273",
            "telephone_number": "918-252-9915",
            "fax_number": "918-252-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 S. MINGO RD",
            "address_2": "STE 107",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333273",
            "telephone_number": "918-252-9915",
            "fax_number": "918-252-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT CENTER OF CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-252-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": null,
            "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 19, 2016; 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.