Legacy Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4186 Issued in OK

Legal business name

LEGACY CHIROPRACTIC INC.

Practice address

13316 S Western Ave Ste R
Oklahoma City, OK 73170-7310

Phone

(405) 735-6754

Fax

(405) 735-6755

NPI assigned

Sep 13, 2017

Organization subpart

No

Name

Dr. Kim W Hester, DCNPI 1023010097

Title

Preisdent/Owner

Phone

(405) 735-6754

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim W Hester, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1023010097
  Medicare reassignment NPD Authorized official
• Gina M Caravaglia, DO

  • Addiction Medicine (Family Medicine) Physician
  • Cathedral City, CA
  • NPI 1538147459
  NPD
• Michelle Renee Sturdivant, NP

  • Adult Health Nurse Practitioner
  • Moore, OK
  • NPI 1154873743
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124547815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13316 S WESTERN AVE STE R",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731707310",
            "telephone_number": "405-735-6754",
            "fax_number": "405-735-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13316 S WESTERN AVE STE R",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731707310",
            "telephone_number": "405-735-6754",
            "fax_number": "405-735-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PREISDENT/OWNER",
        "authorized_official_telephone_number": "405-735-6754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn L Lefever, RN, CNS, CDE
• Ellen Leflore, RMA
• Madison Leforce
• Savannah Elaine Leforce, MS
• Legacy Adult Day Center
• Legacy Counseling and Associates, LLC
• Legacy Family Dentist, PLLC.
• Legacy Family Hospice, LLC
• Legacy Family Services Inc.
• Legacy Healthcare LLC

• All providers in Oklahoma City, OK
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.