Lecraig John Willemstein, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2393 Issued in OK

Practice address

2303 S Memorial Dr
Tulsa, OK 74129-2615

Phone

(918) 622-9533

Fax

(918) 622-9536

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willemstein Enterprises, Inc

  • Chiropractor
  • Tulsa, OK
  • NPI 1992926828
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1215027255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741292615",
            "telephone_number": "918-622-9533",
            "fax_number": "918-622-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741292615",
            "telephone_number": "918-622-9533",
            "fax_number": "918-622-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEMSTEIN",
        "first_name": "LECRAIG",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2393",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabe Willbourn I
• Leta Willcox
• Paula Willcox
• Lauren Nicole Willems
• Willemstein Enterprises, Inc
• Jonathan B. Willey, PTA
• Rebecca Willhite, LCSW
• William H Pittman
• William M. Nyquist D.D.S
• William R Grubb MD Inc

• 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 Oct 31, 2012; 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.