MC Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MC CHIROPRACTIC CLINIC

Practice address

2115 S Highway 69
Wagoner, OK 74467

Phone

(918) 448-6180

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Martin Chance Shearwood, D.C.NPI 1285233114

Title

Owner

Phone

(918) 448-6180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Chance Shearwood, D.C.

  • Chiropractor
  • Stigler, OK
  • NPI 1285233114
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1376322685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NW 10TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621569",
            "telephone_number": "918-448-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S HIGHWAY 69",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "74467",
            "telephone_number": "918-448-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "SHEARWOOD",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "CHANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-448-6180",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Danette Martin, BA
• Tracy Lea Martin
• Chelsea Nicole Mason
• Elizabeth Lane Mason, BSW
• MBR Eye LLC
• Garrette Lee McClure, M.S.
• Dante Anatol McCoy
• Laurie Lee McCune, BHRS
• Melissa Ann McDaris, BA
• Chelsea C McGee, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.