Individual provider Active NPI

Dwayne Golbek, DC

  • Sports Physician Chiropractor
  • Catoosa, OK
National Provider Identifier
1235832387
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4266 Issued in OK
Practice address
1755 N Highway 66 Ste F
Catoosa, OK 74015-2717
Phone
(918) 416-7238
NPI assigned
Mar 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 4266 OK Primary

Addresses

Primary practice location

1755 N Highway 66 Ste F
Catoosa, OK 74015-2717

Mailing address

23352 S 4150 Rd
Claremore, OK 74019-0601
Phone (918) 899-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1235832387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23352 S 4150 RD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740190601",
            "telephone_number": "918-899-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N HIGHWAY 66 STE F",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740152717",
            "telephone_number": "918-416-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBEK",
        "first_name": "DWAYNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OK",
            "license": "4266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catoosa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; 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.