Ashlock Chiropractic PC | NPI 1225354541

Key facts

NPI: 1225354541
Entity type: Organization (NPI type 2)
Primary specialty: Independent Medical Examiner Chiropractor 111NI0013X
License: 3807 (OK)
Legal business name: ASHLOCK CHIROPRACTIC PC
Practice address: 12899 E 76TH St N Ste 101
Owasso, OK 74055-4059
Phone: (918) 272-0444
Fax: (918) 272-0447
NPI assigned: Apr 12, 2010
Organization subpart: No

Authorized official

Name: Dr. Justin Lee Ashlock, D.C. NPI 1437271558
Title: Chiropractor
Phone: (918) 272-0444

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Justin Lee Ashlock, D.C. Chiropractor · Owasso, OK · NPI 1437271558

Medicare reassignment NPD Authorized official OK

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OK

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100927001369	OK	Part B Supplier - Clinic/Group Practice	1254457211	Receives reassigned benefits from 1 practitioner Practice locations: Owasso, OK

National Provider Directory

Locations

12899 E 76th St N
Ste 101
Owasso, OK 74055
Phone (918) 272-0444

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Independent Medical Examiner Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111NI0013X	3807	OK	Yes

Addresses

Primary practice location

12899 E 76TH St N Ste 101
Owasso, OK 74055-4059

Mailing address

12899 E 76TH St N Ste 101
Owasso, OK 74055-4059
Phone (918) 272-0444

Other providers in Owasso, OK

All providers in Owasso, OK · Independent Medical Examiner Chiropractor in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.