Spine Spa PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4231 Issued in OK

Legal business name

SPINE SPA PLLC

Practice address

7302 S Yale Ave
Tulsa, OK 74136-7027

Phone

(918) 671-8805

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. John Armstrong Owens, DC

Title

Chiropractor/Owner

Phone

(918) 671-8805

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Snewo, PLLC Former legal business name

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1376046433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367027",
            "telephone_number": "918-671-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7302 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367027",
            "telephone_number": "918-671-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARMSTRONG",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "918-671-8805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PTAN587456AD7U",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snewo, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Julie Diane Spille, BS
• Stephanie Spillers, LPC
• Spinal Decompression Center of Tulsa, LLC
• Spinal Neurosurgical Associates, P.a.
• Spinal Therapeutic Services Inc
• Spine Specialists P C
• Spineshield Neuromonitoring LLC
• Rosanne Spinks, BSW
• Kelly Catherine Spiva, M.A.,CCC-A
• James Owen Spoon, PHARMD

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.