Organization Active NPI

Panacea Wellness and Chiropractic

  • Chiropractor
  • Broken Arrow, OK
National Provider Identifier
1154561637
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3916 Issued in OK
Legal business name
PANACEA WELLNESS AND CHIROPRACTIC
Practice address
7511 E Galveston PL
Broken Arrow, OK 74014-7053
Phone
(918) 549-5207
NPI assigned
Feb 24, 2009
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Dr. Christopher Ray Wasson, D.C.
Title
Owner
Phone
(918) 549-5207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3916 OK Primary

Addresses

Primary practice location

7511 E Galveston PL
Broken Arrow, OK 74014-7053

Mailing address

7511 E Galveston PL
Broken Arrow, OK 74014-7053
Phone (918) 549-5207

National Provider Directory

National Provider Directory

Locations

21910 E 71st St S
Ste C
Broken Arrow, OK 74014
Phone (918) 398-0101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1154561637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 E GALVESTON PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740147053",
            "telephone_number": "918-549-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 E GALVESTON PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740147053",
            "telephone_number": "918-549-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA WELLNESS AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-549-5207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.