Organization Active NPI

Wolff Chiropractic Clinic Inc

  • Chiropractor
  • Durant, OK
National Provider Identifier
1265552178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3757 Issued in OK
Legal business name
WOLFF CHIROPRACTIC CLINIC INC
Practice address
3601 W Main St
Suite 140
Durant, OK 74701-4558
Phone
(580) 931-3343
Fax
(580) 931-3303
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Wolff, DCNPI 1629027164
Title
Owner
Phone
(580) 931-3343

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3757 OK Primary

Addresses

Primary practice location

3601 W Main St
Suite 140
Durant, OK 74701-4558

Mailing address

3601 W Main St
Suite 140
Durant, OK 74701-4558
Phone (580) 931-3343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051112000011 OK Part B Supplier - Clinic/Group Practice 5395764070 Receives reassigned benefits from 1 practitioner
Practice locations: Durant, OK

National Provider Directory

National Provider Directory

Locations

3601 W Main St
Ste 140
Durant, OK 74701
Phone (580) 931-3343

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265552178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W MAIN ST",
            "address_2": "SUITE 140",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014558",
            "telephone_number": "580-931-3343",
            "fax_number": "580-931-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W MAIN ST",
            "address_2": "SUITE 140",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014558",
            "telephone_number": "580-931-3343",
            "fax_number": "580-931-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFF CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-931-3343",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.