Active NPI
Odum Chiropractic Clinic PLLC
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1346349255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ODUM CHIROPRACTIC CLINIC PLLC
- Practice address
- 1004 NW 150TH
Oklahoma City, OK 73013-0000 - Phone
- (405) 286-9977
- Fax
- (405) 286-9979
- NPI assigned
- Sep 21, 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
- Dr. Brett Odum, PLLC
- Title
- Dr. Brett Odum PLLC
- Phone
- (405) 286-9977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1004 NW 150TH
Oklahoma City, OK 73013-0000
Mailing address
1004 NW 150TH
Oklahoma City, OK 73013
Phone (405) 286-9977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15100 Traditions Blvd
Ste 1
Edmond, OK 73013
Phone (405) 509-6483
15100 Traditions Blvd
Edmond, OK 73013
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Edmond, OK
- NPI 1225096043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346349255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 NW 150TH",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-286-9977",
"fax_number": "405-286-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 NW 150TH",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "730130000",
"telephone_number": "405-286-9977",
"fax_number": "405-286-9979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODUM CHIROPRACTIC CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ODUM",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "DR. BRETT ODUM PLLC",
"authorized_official_telephone_number": "405-286-9977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PLLC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.