Active NPI
Fenell Hand & Foot Clinic, Inc.
- Chiropractor
- Tulsa, OK
National Provider Identifier
1407060486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- FENELL HAND & FOOT CLINIC, INC.
- Practice address
- 3515 E 31St Street
B
Tulsa, OK 74135-3512 - Phone
- (918) 749-4263
- Fax
- (888) 505-9606
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derek Durrell Coffman, DC
- Title
- Chiropractor
- Phone
- (918) 749-4263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3398 | OK | |
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3515 E 31St Street
B
Tulsa, OK 74135-3512
Mailing address
3515 E 31St Street
B
Tulsa, OK 74135
Phone (918) 749-4263
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1407060486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 E 31ST STREET",
"address_2": "B",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-749-4263",
"fax_number": "888-505-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 E 31ST STREET",
"address_2": "B",
"city": "TULSA",
"state": "OK",
"postal_code": "741353512",
"telephone_number": "918-749-4263",
"fax_number": "888-505-9606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FENELL HAND & FOOT CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2023-09-06",
"certification_date": "2021-04-07",
"status": "A",
"authorized_official_last_name": "COFFMAN",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "DURRELL",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "918-749-4263",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "3398",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"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 Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.