Active NPI
Curtis Wayne Tillman, D.C., D.A.C.N.B.
- Chiropractor
- Coweta, OK
National Provider Identifier
1386817781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3869
- Practice address
- 29692 E State Hwy 51
Coweta, OK 74429 - Phone
- (918) 486-1490
- Fax
- (918) 486-1595
- NPI assigned
- Apr 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3869 | OK | Primary |
| Neurology Chiropractor | 111NN0400X | 3869 | OK |
Addresses
Primary practice location
29692 E State Hwy 51
Coweta, OK 74429
Mailing address
PO Box 608
Coweta, OK 74429
Phone (918) 486-1490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9646 | TX | MD | Professional Counselor |
| 3869 | OK | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1386817781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "COWETA",
"state": "OK",
"postal_code": "74429",
"telephone_number": "918-486-1490",
"fax_number": "918-486-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29692 E STATE HWY 51",
"city": "COWETA",
"state": "OK",
"postal_code": "74429",
"telephone_number": "918-486-1490",
"fax_number": "918-486-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMAN",
"first_name": "CURTIS",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "D.C., D.A.C.N.B.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-07",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3869",
"primary": true
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "OK",
"license": "3869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coweta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.