Individual provider Active NPI

Lance A Hoose, D.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1386682722
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3417 Issued in OK
Practice address
2442 E 21St St
Tulsa, OK 74114-1749
Phone
(918) 742-0560
Fax
(918) 742-0605
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3417 OK Primary

Addresses

Primary practice location

2442 E 21St St
Tulsa, OK 74114-1749

Mailing address

2442 E 21St St
Tulsa, OK 74114-1749
Phone (918) 742-0560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000131 OK Practitioner - Chiropractic 3072645738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2442 E 21St St
Tulsa, OK 74114-1749
Phone (918) 742-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center PLLC Chiropractor CurrentSince Apr 20, 2010 Accepting new patients

Locations

2442 E 21st St
Tulsa, OK 74114
Phone (918) 742-0560

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1386682722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141749",
            "telephone_number": "918-742-0560",
            "fax_number": "918-742-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141749",
            "telephone_number": "918-742-0560",
            "fax_number": "918-742-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSE",
        "first_name": "LANCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.