Active NPI
Arbuckle Chiropractic LLC
- Chiropractor
- Sulphur, OK
National Provider Identifier
1124680079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ARBUCKLE CHIROPRACTIC LLC
- Practice address
- 1500 W. 1St St
Sulphur, OK 73086 - Phone
- (580) 622-5959
- Fax
- (580) 622-6108
- NPI assigned
- Jul 1, 2019
- 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
- Dr. Robert Vallandensham, D.C.
- Title
- Dr.
- Phone
- (580) 622-5959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1500 W. 1St St
Sulphur, OK 73086
Mailing address
1500 W. 1St St
Sulphur, OK 73086
Phone (580) 622-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200211002403 | OK | Part B Supplier - Clinic/Group Practice | 6608202692 |
Receives reassigned benefits from 1 practitioner Practice locations: Sulphur, OK |
National Provider Directory
National Provider DirectoryLocations
1500 W 1st St
Sulphur, OK 73086
Phone (580) 622-5959
81 Charles F Cooper Memorial Dr
Sulphur, OK 73086
Phone (580) 622-5959
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": "1561939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561939200000",
"number": "1124680079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 W. 1ST ST",
"city": "SULPHUR",
"state": "OK",
"postal_code": "73086",
"telephone_number": "580-622-5959",
"fax_number": "580-622-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W. 1ST ST",
"city": "SULPHUR",
"state": "OK",
"postal_code": "73086",
"telephone_number": "580-622-5959",
"fax_number": "580-622-6108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARBUCKLE CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A",
"authorized_official_last_name": "VALLANDENSHAM",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "580-622-5959",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.