Organization Active NPI

Carver Chiropractic Clinic, Inc.

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1336193796
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2595 Issued in OK
Legal business name
CARVER CHIROPRACTIC CLINIC, INC.
Practice address
2805 S Bryant Avenue
Suite C
Edmond, OK 73013-6158
Phone
(405) 285-2244
Fax
(405) 285-0004
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. John Gwin Carver, D.C.
Title
President
Phone
(405) 285-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2595 OK Primary

Addresses

Primary practice location

2805 S Bryant Avenue
Suite C
Edmond, OK 73013-6158

Mailing address

2805 S Bryant Avenue
Suite C
Edmond, OK 73013-6158
Phone (405) 285-2244

Other identifiers 1

IdentifierTypeStateIssuer
446727707003OtherOKBLUE CROSS / BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2805 S Bryant Ave
Ste C
Edmond, OK 73013
Phone (405) 285-2244

1001 W Memorial Rd
#12
Oklahoma City, OK 73114
Phone (405) 608-2280

546 E Memorial Rd
Oklahoma City, OK 73114
Phone (405) 285-2244

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1336193796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 S BRYANT AVENUE",
            "address_2": "SUITE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136158",
            "telephone_number": "405-285-2244",
            "fax_number": "405-285-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 S BRYANT AVENUE",
            "address_2": "SUITE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136158",
            "telephone_number": "405-285-2244",
            "fax_number": "405-285-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVER CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-285-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "446727707003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.