Individual provider Active NPI

Channing Rockwell, DC

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1366906067
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4364 Issued in OK
Practice address
10708 N 153Rd East Ave
Owasso, OK 74055-6386
Phone
(918) 346-9037
NPI assigned
Jan 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007911 CO
Chiropractor 111N00000X 4364 OK Primary

Addresses

Primary practice location

10708 N 153Rd East Ave
Owasso, OK 74055-6386

Mailing address

10708 N 153Rd East Ave
Owasso, OK 74055-6386
Phone (918) 346-9037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708000228 OK Practitioner - Chiropractic 9739422783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Chiropractic Clinic, LLCGroup PAC ID 8022309376, 2 clinicians

Practice addresses (Care Compare)

2601 N Aspen Ave
Suite 1023
Broken Arrow, OK 74012-1378
Phone (918) 893-3848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Chiropractic Clinic, LLC Chiropractor CurrentSince May 1, 2024 Accepting new patients
Dr. Whitney M. Ellsworth, DPT, PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

2601 N Aspen Ave
Ste 1023
Broken Arrow, OK 74012
Phone (918) 486-9977

Organizations & group practices 2

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": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1366906067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10708 N 153RD EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556386",
            "telephone_number": "918-346-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10708 N 153RD EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556386",
            "telephone_number": "918-346-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "CHANNING",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007911",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4364",
            "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 Oct 30, 2024; 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.