NPIMap

Organization Active NPI

Hayes Chiropractic Health Clinic, P.C.

  • Chiropractor
  • Broken Bow, OK
National Provider Identifier
1194949909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3148 Issued in OK
Legal business name
HAYES CHIROPRACTIC HEALTH CLINIC, P.C.
Practice address
1605 S Park Dr
Broken Bow, OK 74728-5724
Phone
(580) 584-3385
Fax
(580) 584-5454
NPI assigned
Apr 12, 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
Douglas R Hayes, D.C.
Title
President
Phone
(580) 584-3385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3148 OK Primary

Addresses

Primary practice location

1605 S Park Dr
Broken Bow, OK 74728-5724

Mailing address

1605 S Park Dr
Broken Bow, OK 74728-5724
Phone (580) 584-3385

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194949909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S PARK DR",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747285724",
            "telephone_number": "580-584-3385",
            "fax_number": "580-584-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S PARK DR",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747285724",
            "telephone_number": "580-584-3385",
            "fax_number": "580-584-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES CHIROPRACTIC HEALTH CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-584-3385",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, 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.