Individual provider Active NPI

L Dennis Doan, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1164517546
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3613 Issued in OK
Practice address
12411 N Rockwell Av
Oklahoma City, OK 73142
Phone
(405) 621-5617
Fax
(405) 621-5619
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3613 OK Primary

Addresses

Primary practice location

12411 N Rockwell Av
Oklahoma City, OK 73142

Mailing address

12411 N Rockwell Av
Oklahoma City, OK 73142
Phone (405) 621-5617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000570 OK Practitioner - ChiropracticPractitioner - Family Practice 5799952511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Family Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12411 N Rockwell Ave
Oklahoma City, OK 73142-2704
Phone (405) 621-5617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
L Dennis Doan, DC, PLLC Chiropractor CurrentSince Nov 14, 2001 Accepting new patients

Locations

12411 N Rockwell Ave
Oklahoma City, OK 73142
Phone (405) 621-5617

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1164517546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 N ROCKWELL AV",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73142",
            "telephone_number": "405-621-5617",
            "fax_number": "405-621-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 N ROCKWELL AV",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73142",
            "telephone_number": "405-621-5617",
            "fax_number": "405-621-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "L DENNIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.