Organization Active NPI

Trinity Clinic

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1174742902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3611 Issued in OK
Legal business name
TRINITY CLINIC
Practice address
4236 NW Expressway St
Suite 118
Oklahoma City, OK 73116-1588
Phone
(405) 848-7246
Fax
(405) 842-8290
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Misty S Ray
Title
Chiropractic Assit.Office Manager
Phone
(405) 848-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3611 OK Primary

Addresses

Primary practice location

4236 NW Expressway St
Suite 118
Oklahoma City, OK 73116-1588

Mailing address

4236 NW Expressway St
Suite 118
Oklahoma City, OK 73116-1588
Phone (405) 848-7246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174742902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 NW EXPRESSWAY ST",
            "address_2": "SUITE 118",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161588",
            "telephone_number": "405-848-7246",
            "fax_number": "405-842-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 NW EXPRESSWAY ST",
            "address_2": "SUITE 118",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161588",
            "telephone_number": "405-848-7246",
            "fax_number": "405-842-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSIT.OFFICE MANAGER",
        "authorized_official_telephone_number": "405-848-7246"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.