Ciavarra Medical, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20060803 Issued in OK

Legal business name

CIAVARRA MEDICAL, LLC

Doing business as

CIAVARRA CHIROPRACTIC CLINIC

Practice address

4800 W Quincy St
Suite 102
Broken Arrow, OK 74012-5925

Phone

(918) 250-2273

Fax

(918) 250-2272

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David E Ciavarra, D.C.NPI 1235189713

Title

Owner

Phone

(918) 250-2273

Specialties & licenses 1

Addresses

Other names 1

• CIAVARRA CHIROPRACTIC CLINIC Doing business as

Locations

Practitioners 1

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

• David E Ciavarra, D.C.

  • Chiropractor
  • Broken Arrow, OK
  • NPI 1235189713
  NPD (past) Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346277795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W QUINCY ST",
            "address_2": "SUITE 102",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125925",
            "telephone_number": "918-250-2273",
            "fax_number": "918-250-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W QUINCY ST",
            "address_2": "SUITE 102",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125925",
            "telephone_number": "918-250-2273",
            "fax_number": "918-250-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIAVARRA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIAVARRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-250-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "20060803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIAVARRA CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Yan-CHI Chow, MD
• Christina Walker Counseling, LLC
• Samina Christopher, PH.D.
• Emily Chupp
• Hunter Jade Churchill
• David E Ciavarra, D.C.
• City of Broken Arrow
• City of Sapulpa
• Alexis Maria Clark
• Jackie Harold Clark Sr., O.D.

• Chiropractor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Chiropractor in Oklahoma

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.