Organization Active NPI

Ok Chiropractic PLLC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1326131004
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3511 Issued in OK
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

Updated by the provider on May 21, 2020

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

Authorized official

Name
Lance Goodwin, D.C.NPI 1740221852
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3511 OK Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061212000046 OK Part B Supplier - Clinic/Group Practice 1153320676 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.