Active NPI
Ronnie Dean Somerville, D.C.
- Rehabilitation Chiropractor
- Oklahoma City, OK
National Provider Identifier
1144389206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 3436
- Practice address
- 4115 N Classen Blvd
Oklahoma City, OK 73118-2421 - Phone
- (405) 947-8293
- NPI assigned
- Dec 6, 2006
- Last updated
- May 29, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3436 | OK | Primary |
Addresses
Primary practice location
4115 N Classen Blvd
Oklahoma City, OK 73118-2421
Mailing address
9617 SW 33Rd St
Oklahoma City, OK 73179-1215
Phone (405) 947-8293
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3436 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Incorporated | Current | Accepting new patients | |
| Integrated Medical Incorporated | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Charter Clinic Immediate Care
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1386448181
-
- Urgent Care Clinic/Center
- Oklahoma City, OK
- NPI 1487837456
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1477736445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1144389206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9617 SW 33RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731791215",
"telephone_number": "405-947-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 N CLASSEN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182421",
"telephone_number": "405-947-8293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERVILLE",
"first_name": "RONNIE",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "OK",
"license": "3436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Julie Lynn Solow, M.S. CCC-SLP
- Solutions Healthcare, Inc.
- Ibironke Agbeke Somade, THERAPIST
- Olufemi O Somade, LADC
- Somer R. Heim, DDS, PLLC
- John Charles Sommers
- Sommerset Assisted Living Residence, L.L.C.
- Sommerset Assisted Living Residences, L.L.P.
- Somnia Sleep Clinic LLC (Somnia Sleep Clinic)
- Somnium DME LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.