Active NPI
Andrea Javersak, DC
- Chiropractor
- McAlester, OK
National Provider Identifier
1316228562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3513
- Practice address
- 1021 S 2ND St
McAlester, OK 74501-6401 - Phone
- (918) 420-5552
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3513 | OK | Primary |
Addresses
Primary practice location
1021 S 2ND St
McAlester, OK 74501-6401
Mailing address
PO Box 1261
McAlester, OK 74502-1261
Phone (918) 420-5552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120330000165 | OK | Practitioner - Chiropractic | 0749440626 | Practice locations: Tulsa, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8596 E 101St St
Suite B
Tulsa, OK 74133-7037
Phone (918) 364-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3513 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1316228562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1261",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745021261",
"telephone_number": "918-420-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 S 2ND ST",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745016401",
"telephone_number": "918-420-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVERSAK",
"first_name": "ANDREA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.