Organization Active NPI

Nordstrom Chiropractic, PLLC

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1386883965
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3867 Issued in OK
Legal business name
NORDSTROM CHIROPRACTIC, PLLC
Practice address
16135 N May Ave
Ste. B
Edmond, OK 73013-8976
Phone
(405) 341-2126
Fax
(405) 341-2582
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. Jonathan Owen Nordstrom, D.C.
Title
Owner
Phone
(405) 341-2126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3867 OK Primary

Addresses

Primary practice location

16135 N May Ave
Ste. B
Edmond, OK 73013-8976

Mailing address

16135 N May Ave
Ste. B
Edmond, OK 73013-8976
Phone (405) 341-2126

National Provider Directory

National Provider Directory

Locations

16135 N May Ave
Ste B
Edmond, OK 73013
Phone (405) 341-2126

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1386883965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 N MAY AVE",
            "address_2": "STE. B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138976",
            "telephone_number": "405-341-2126",
            "fax_number": "405-341-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 N MAY AVE",
            "address_2": "STE. B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138976",
            "telephone_number": "405-341-2126",
            "fax_number": "405-341-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDSTROM CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "NORDSTROM",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-341-2126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.