Individual provider Active NPI

Ty Austin Womack, DC

  • Chiropractor
  • Norman, OK
National Provider Identifier
1356094270
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4468 Issued in OK
Practice address
2276 36TH Ave NW Ste 110
Norman, OK 73072-3279
Phone
(405) 496-2169
NPI assigned
Jan 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4468 OK Primary

Addresses

Primary practice location

2276 36TH Ave NW Ste 110
Norman, OK 73072-3279

Mailing address

6929 S Sooner Rd Apt 45202
Oklahoma City, OK 73135-2745
Phone (405) 496-2169

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ChiroTouch

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220413001238 OK Practitioner - Chiropractic 3375939952 Reassigns benefits to 1 organization
Practice locations: Norman, OK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Twaf Health LLC Chiropractor CurrentSince Mar 5, 2022 Accepting new patients

Locations

2276 36th Ave NW
Ste 110
Norman, OK 73072
Phone (405) 496-2169

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1356094270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 S SOONER RD APT 45202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352745",
            "telephone_number": "405-496-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 36TH AVE NW STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723279",
            "telephone_number": "405-496-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "TY",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "address_1": "2276 36th Ave NW Ste 110",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730723279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.