Individual provider Active NPI

William Tyler Hewett, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1205432093
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4394 Issued in OK
Practice address
13838 Quail Pointe Dr Ste a
Oklahoma City, OK 73134-1003
Phone
(405) 254-7091
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4394 OK Primary

Addresses

Primary practice location

13838 Quail Pointe Dr Ste a
Oklahoma City, OK 73134-1003

Mailing address

13838 Quail Pointe Dr Ste a
Oklahoma City, OK 73134-1003
Phone (405) 254-7091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419000323 OK Practitioner - Chiropractic 9931517604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 36TH Ave SW
Suite 1C
Norman, OK 73072-5045
Phone (405) 364-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4394OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hewett Chiropractic PLLC Chiropractor CurrentSince May 3, 2021 Accepting new patients

Locations

210 36th Ave SW
Ste 1C
Norman, OK 73072
Phone (405) 364-1500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1205432093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13838 QUAIL POINTE DR STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341003",
            "telephone_number": "405-254-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13838 QUAIL POINTE DR STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341003",
            "telephone_number": "405-254-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "WILLIAM",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4394",
            "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 Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.