Harris Sports Chiropractic & Wellness Center

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3066 Issued in OK

Legal business name

HARRIS SPORTS CHIROPRACTIC & WELLNESS CENTER

Practice address

521 W Main St
Jenks, OK 74037-3750

Phone

(918) 299-6396

Fax

(918) 299-6397

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Paul E Harris, D.C.NPI 1669472726

Title

President

Phone

(918) 299-6396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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

• Paul Eugene Harris, DC CCSP

  • Chiropractor
  • Jenks, OK
  • NPI 1669472726
  Medicare reassignment Authorized official
• Carla H Harris, DC DICCP

  • Chiropractor
  • Jenks, OK
  • NPI 1053311837
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1205375441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373750",
            "telephone_number": "918-299-6396",
            "fax_number": "918-299-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373750",
            "telephone_number": "918-299-6396",
            "fax_number": "918-299-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS SPORTS CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-299-6396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OK",
            "license": "3066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucien Wade Hamra, PHARMD
• Abigail Hanning
• Kayla J Hansen, APRN
• Amy Beth Harrell, APRN
• Harris Chiropractic Clinic, P.C.
• Carla H Harris, DC DICCP
• Paul Eugene Harris, DC CCSP
• Tim S Harris, DC
• Ronda Lynn Harrison, PT
• Lisa E Hart, DO

• Sports Physician Chiropractor in Jenks, OK
• Providers in Jenks, OK by specialty
• Sports Physician Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.