Jonathan D. Wren D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3612 Issued in OK

Legal business name

JONATHAN D. WREN D.C.

Doing business as

Medford Family Chiropractic

Practice address

104 N Main St
Medford, OK 73759-1232

Phone

(580) 747-6425

NPI assigned

Aug 23, 2007

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan D Wren, D.C.NPI 1235149253

Title

Owner/Doctor

Phone

(580) 747-6425

Specialties & licenses 1

Addresses

Other names 1

• Medford Family Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan David Wren, D.C.

  • Chiropractor
  • Enid, OK
  • NPI 1235149253
  NPD (past) Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1407049307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "MEDFORD",
            "state": "OK",
            "postal_code": "737590271",
            "telephone_number": "580-747-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "MEDFORD",
            "state": "OK",
            "postal_code": "737591232",
            "telephone_number": "580-747-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN D. WREN D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "580-747-6425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medford Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Medford (Medford Ambulance Service)
• Deanne Mae Fogleman
• Great Salt Plains Health Center, Inc. (GSP Health Medford)
• Hughes Pharmacy LLC (Hughes Pharmacy)
• Integris Bass Baptist Health Center (Integris Health Medical Group Medford)
• Kennedy Drug Co
• Medford Public School
• Medkan Pharmacy Inc (GC Drug)
• Medkan Pharmacy Inc (GC Drug LTC)
• Michael F Flanagan, Receiver for Medfors Nursing Home (Medford Nursing Home)

• Chiropractor in Medford, OK
• Providers in Medford, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.