Organization Active NPI

CCC of Owasso Inc

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1386899110
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CCC OF OWASSO INC
Practice address
435 E 2ND Ave
Owasso, OK 74055-3208
Phone
(918) 272-8054
Fax
(918) 274-8044
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Dr. Benjamin R. Swacha, D.C.NPI 1689733537
Title
President/Doctor
Phone
(918) 272-8054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

435 E 2ND Ave
Owasso, OK 74055-3208

Mailing address

435 E 2ND Ave
Owasso, OK 74055-3208
Phone (918) 272-8054

Other names 1

  • Complete Care Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1386899110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E 2ND AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553208",
            "telephone_number": "918-272-8054",
            "fax_number": "918-274-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E 2ND AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553208",
            "telephone_number": "918-272-8054",
            "fax_number": "918-274-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCC OF OWASSO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "SWACHA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "918-272-8054",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Complete Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.