Chiropractic Services, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1596 Issued in OK

Legal business name

CHIROPRACTIC SERVICES, INC

Practice address

2400 N Commerce St
Suite 103
Ardmore, OK 73401-1438

Phone

(580) 223-4858

Fax

(580) 226-6111

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kerry Ellis

Title

Office Administrtor

Phone

(580) 223-4858

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1225154396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N COMMERCE ST",
            "address_2": "SUITE 103",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011438",
            "telephone_number": "580-223-4858",
            "fax_number": "580-226-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N COMMERCE ST",
            "address_2": "SUITE 103",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011438",
            "telephone_number": "580-223-4858",
            "fax_number": "580-226-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRTOR",
        "authorized_official_telephone_number": "580-223-4858",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OK",
            "license": "1596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "526611643002",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "PENDING",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9204749",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100713340B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC NPI NUMBER",
            "identifier": "1689644544",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ambi Cheek, B.A.
• Justin Cole Cheek, APRN, CNP
• Chickasaw Nation Division of Health
• Chickasaw Nation Division of Health
• Kari Dawn Childers, BCBA
• Stephanie Latrese Christian
• Shaeanna Renae Clapp
• Clayton V Clark
• Emma Clark
• Madison Clark

• Health Maintenance Organization in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Health Maintenance Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.