Organization Active NPI

Discover Chiropractic Family and Wellness LLC

  • Chiropractor
  • Piedmont, OK
National Provider Identifier
1346641248
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DISCOVER CHIROPRACTIC FAMILY AND WELLNESS LLC
Practice address
516 2ND St NW
Piedmont, OK 73078-8013
Phone
(405) 659-3752
NPI assigned
Sep 10, 2014
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Dr. Dustin York, D.C.NPI 1700287075
Title
Owner
Phone
(405) 659-3752

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X OK Primary

Addresses

Primary practice location

516 2ND St NW
Piedmont, OK 73078-8013

Mailing address

1401 S Douglas Blvd Ste W
Midwest City, OK 73130-5200
Phone (405) 733-3955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161220000290 OK Part B Supplier - Clinic/Group Practice 4486935020 Receives reassigned benefits from 2 practitioners
Practice locations: Midwest City, OK

National Provider Directory

National Provider Directory

Locations

1401 S Douglas Blvd
Ste W
Oklahoma City, OK 73130
Phone (405) 733-3955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1346641248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S DOUGLAS BLVD STE W",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305200",
            "telephone_number": "405-733-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 2ND ST NW",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730788013",
            "telephone_number": "405-659-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER CHIROPRACTIC FAMILY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-659-3752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.