Health Wise Chiropractic Inc PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3517 Issued in OK

Legal business name

HEALTH WISE CHIROPRACTIC INC PC

Practice address

9104 E 62ND St
Tulsa, OK 74133-6443

Phone

(918) 461-9490

Fax

(918) 461-9690

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Lynn Montesano, DCNPI 1528096807

Title

President

Phone

(918) 461-9490

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.

• Jessica Lynn Montesano, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1528096807
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Lance Wise, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1831126143
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1205960754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 E 62ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336443",
            "telephone_number": "918-461-9490",
            "fax_number": "918-461-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 E 62ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336443",
            "telephone_number": "918-461-9490",
            "fax_number": "918-461-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WISE CHIROPRACTIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "MONTESANO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-461-9490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.