Individual provider Active NPI

Stephen Nathaniel Warren, D.C.

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1366464687
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3717 Issued in OK
Practice address
8361 N Owasso Expy
Suite E
Owasso, OK 74055-2105
Phone
(918) 640-0918
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3717 OK Primary

Addresses

Primary practice location

8361 N Owasso Expy
Suite E
Owasso, OK 74055-2105

Mailing address

10203 E. 101St St. N.
Owasso, OK 74055
Phone (918) 640-0918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061007000014 OK Practitioner - Chiropractic 2567459324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8361 N Owasso Expressway
Suite E
Owasso, OK 74055-2179

8361 N Owasso Expy
Owasso, OK 74055-2179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3861WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Family Chiropractic PLLC Chiropractor CurrentSince Apr 12, 2014 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor PastSince Mar 2, 2015 Accepting new patients
Poland Chiropractic Inc Chiropractor PastSince Dec 31, 2015 Accepting new patients

Locations

8361 N Owasso Expy
Ste E
Owasso, OK 74055
Phone (918) 272-0400

Organizations & group practices 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1366464687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 E. 101ST ST. N.",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-640-0918",
            "fax_number": "918-272-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 N OWASSO EXPY",
            "address_2": "SUITE E",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552105",
            "telephone_number": "918-640-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "STEPHEN",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.