Organization Active NPI

Land Run Chiropractic

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1194459735
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAND RUN CHIROPRACTIC
Practice address
609 S Kelly Ave Ste C2
Edmond, OK 73003-5743
Phone
(405) 906-2391
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Courtney Lynn Williams
Title
Office Manager
Phone
(405) 906-2391

Specialties & licenses 1

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

Addresses

Primary practice location

609 S Kelly Ave Ste C2
Edmond, OK 73003-5743

Mailing address

609 S Kelly Ave Ste C2
Edmond, OK 73003-5743
Phone (405) 906-2391

Other identifiers 1

IdentifierTypeStateIssuer
2L2493OtherOKPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address customerservice@landrunchiro.com Direct

National Provider Directory

National Provider Directory

Locations

609 S Kelly Ave
Ste C2
Edmond, OK 73003
Phone (405) 906-2391

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1194459735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S KELLY AVE STE C2",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035743",
            "telephone_number": "405-906-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S KELLY AVE STE C2",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035743",
            "telephone_number": "405-906-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND RUN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-03-22",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-906-2391"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2L2493",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "customerservice@landrunchiro.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "609 S Kelly Ave Ste C2",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730035743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.