Soul Purpose Dba Lone Grove Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUL PURPOSE DBA LONE GROVE CHIROPRACTIC CLINIC

Practice address

16982 Highway 70
Lone Grove, OK 73443

Phone

(580) 657-6664

Fax

(580) 657-6663

NPI assigned

May 21, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Lynn Galles, D.C.

Title

Owner

Phone

(580) 657-6664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Galles-Long, D.C.

  • Chiropractor
  • Ardmore, OK
  • NPI 1972705499
  Medicare reassignment NPD

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1174014609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "734430147",
            "telephone_number": "580-657-6664",
            "fax_number": "580-657-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16982 HIGHWAY 70",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "73443",
            "telephone_number": "580-657-6664",
            "fax_number": "580-657-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL PURPOSE DBA LONE GROVE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "GALLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-657-6664",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

• Shelley D McNeill, MSHR
• Michael D Weaver DDS PC
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• Carolyn J Rainwater
• Leah D'Ann Rother, R.PH.
• Lana Tubbs
• Michael Don Weaver, DDS
• Zane Michael Weaver, DDS
• Vanessa Ann Withrow

• Chiropractor in Lone Grove, OK
• Providers in Lone Grove, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.

Verify at the official NPI Registry.