Individual provider Active NPI

Tina L Foutz, D.C.

  • Chiropractor
  • Claremore, OK
National Provider Identifier
1205844859
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3450 Issued in OK
Practice address
997 W Will Rogers Blvd
Suite a
Claremore, OK 74017-5416
Phone
(918) 283-2222
Fax
(918) 341-6976
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3450 OK Primary

Addresses

Primary practice location

997 W Will Rogers Blvd
Suite a
Claremore, OK 74017-5416

Mailing address

997 W Will Rogers Blvd
Suite a
Claremore, OK 74017-5416
Phone (918) 283-2222

Other identifiers 1

IdentifierTypeStateIssuer
1194521-011OtherOKCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000417 OK Practitioner - Chiropractic 6103713698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

997 W Will Rogers Blvd
Suite a
Claremore, OK 74017-5416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foutz Chiropractic, PLLC Chiropractor CurrentSince Dec 25, 2011 Accepting new patients

Locations

997 W Will Rogers Blvd
Ste A
Claremore, OK 74017
Phone (918) 283-2222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1205844859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 W WILL ROGERS BLVD",
            "address_2": "SUITE A",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175416",
            "telephone_number": "918-283-2222",
            "fax_number": "918-341-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 W WILL ROGERS BLVD",
            "address_2": "SUITE A",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175416",
            "telephone_number": "918-283-2222",
            "fax_number": "918-341-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTZ",
        "first_name": "TINA",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1194521-011",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.