Active NPI
Kendra R Wilbanks, DC
- Chiropractor
- Tulsa, OK
National Provider Identifier
1134474463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4060
- Practice address
- 7877 S Sheridan Rd
Tulsa, OK 74133-3456 - Phone
- (918) 492-1618
- Fax
- (918) 492-1813
- NPI assigned
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4060 | OK | Primary |
Addresses
Primary practice location
7877 S Sheridan Rd
Tulsa, OK 74133-3456
Mailing address
7877 S Sheridan Rd
Tulsa, OK 74133-3456
Phone (918) 492-1618
Other names 1
- Kendra R Leggett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4060 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1134474463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7877 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741333456",
"telephone_number": "918-492-1618",
"fax_number": "918-492-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7877 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741333456",
"telephone_number": "918-492-1618",
"fax_number": "918-492-1813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBANKS",
"first_name": "KENDRA",
"middle_name": "R",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "LEGGETT",
"middle_name": "R",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.