Organization Active NPI

Dr. G's Chiropractic, PLLC

  • Chiropractor
  • McAlester, OK
National Provider Identifier
1194067629
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. G'S CHIROPRACTIC, PLLC
Practice address
529 S 3Rd St
McAlester, OK 74501-5819
Phone
(918) 423-4100
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Dr. Myranda Golla, D.C.NPI 1629328521
Title
Chiropractor/Clinic Owner
Phone
(918) 423-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

529 S 3Rd St
McAlester, OK 74501-5819

Mailing address

PO Box 3094
McAlester, OK 74502-3094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024000321 OK Part B Supplier - Clinic/Group Practice 9830324045 Receives reassigned benefits from 1 practitioner
Practice locations: McAlester, OK

National Provider Directory

National Provider Directory

Locations

529 S 3rd St
McAlester, OK 74501
Phone (918) 423-4100

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": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1194067629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3094",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745023094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S 3RD ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015819",
            "telephone_number": "918-423-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. G'S CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "GOLLA",
        "authorized_official_first_name": "MYRANDA",
        "authorized_official_title_or_position": "CHIROPRACTOR/CLINIC OWNER",
        "authorized_official_telephone_number": "918-423-4100",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.