Active NPI
Ok Chiropractic PLLC
- Chiropractor
- Tulsa, OK
National Provider Identifier
1326131004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3511
- Legal business name
- OK CHIROPRACTIC PLLC
- Doing business as
- Goodwin Chiropractic
- Practice address
- 2865 E Skelly Dr Ste 200
Tulsa, OK 74105-6219 - Phone
- (918) 266-6000
- Fax
- (918) 266-6002
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lance Goodwin, D.C.
- Title
- Owner/DC
- Phone
- (918) 266-6000
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3511 | OK | Primary |
| Chiropractor | 111N00000X | 3564 | OK |
Addresses
Primary practice location
2865 E Skelly Dr Ste 200
Tulsa, OK 74105-6219
Mailing address
PO Box 172
2400 N. Hwy 66, Ste E
Catoosa, OK 74015
Phone (918) 266-6000
Other names 1
- Goodwin Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2400 N Highway 66
Ste E
Catoosa, OK 74015
Phone (918) 266-6000
2865 E Skelly Dr
Ste 200
Tulsa, OK 74105
Phone (918) 266-6000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tulsa, OK
- NPI 1740221852
-
- Chiropractor
- Catoosa, OK
- NPI 1386685048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590019200000",
"number": "1326131004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 172",
"address_2": "2400 N. HWY 66, STE E",
"city": "CATOOSA",
"state": "OK",
"postal_code": "74015",
"telephone_number": "918-266-6000",
"fax_number": "918-266-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 E SKELLY DR STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741056219",
"telephone_number": "918-266-6000",
"fax_number": "918-266-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OK CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-05-21",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "OWNER/DC",
"authorized_official_telephone_number": "918-266-6000",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "3511",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "3564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodwin Chiropractic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Goodwin Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.