Organization Active NPI

Eastern Oklahoma Wellness Center

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1386892388
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3685 Issued in OK
Legal business name
EASTERN OKLAHOMA WELLNESS CENTER
Practice address
6117 S Mingo Rd Ste C
Tulsa, OK 74133-6313
Phone
(918) 615-3433
Fax
(918) 615-3453
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Benjamin Daniel Beeler, D.C.
Title
Owner
Phone
(918) 615-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3685 OK Primary

Addresses

Primary practice location

6117 S Mingo Rd Ste C
Tulsa, OK 74133-6313

Mailing address

6117 S Mingo Rd Ste C
Tulsa, OK 74133-6313
Phone (918) 615-3433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1386892388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 S MINGO RD STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336313",
            "telephone_number": "918-615-3433",
            "fax_number": "918-615-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 S MINGO RD STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336313",
            "telephone_number": "918-615-3433",
            "fax_number": "918-615-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OKLAHOMA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "BEELER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-615-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3685",
            "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 Jul 8, 2014; 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.