Organization Active NPI

Shearwood Family Chiropractic, LLC

  • Chiropractor
  • Eufaula, OK
National Provider Identifier
1174350508
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHEARWOOD FAMILY CHIROPRACTIC, LLC
Practice address
100 N 2ND St
Eufaula, OK 74432-2410
Phone
(918) 707-2987
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Mrs. Tiffany Gail Shearwood
Title
Billing Coordinator
Phone
(918) 894-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

100 N 2ND St
Eufaula, OK 74432-2410

Mailing address

100 N 2ND St
Eufaula, OK 74432-2410
Phone (918) 707-2987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250108001291 OK Part B Supplier - Clinic/Group Practice 5193253946 Receives reassigned benefits from 1 practitioner
Practice locations: Eufaula, OK

National Provider Directory

National Provider Directory

Locations

100 N 2nd St
Ste B
Eufaula, OK 74432
Phone (918) 707-2987

100 N 2nd St
Eufaula, OK 74432
Phone (918) 707-2987

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1174350508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 2ND ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744322410",
            "telephone_number": "918-707-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 2ND ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744322410",
            "telephone_number": "918-707-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEARWOOD FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "SHEARWOOD",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "918-894-2326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.