Organization Active NPI

Frontier Family Chiropractic

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1407197866
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4011 Issued in OK
Legal business name
FRONTIER FAMILY CHIROPRACTIC
Practice address
1132 Providence CT
Edmond, OK 73003-6155
Phone
(918) 557-6299
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Dr. Shawna Nichole Ortiz, DCNPI 1578861753
Title
Chiropractor
Phone
(918) 557-6299

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 4011 OK Primary

Addresses

Primary practice location

1132 Providence CT
Edmond, OK 73003-6155

Mailing address

1132 Providence CT
Edmond, OK 73003-6155
Phone (918) 557-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130903000158 OK Part B Supplier - Clinic/Group Practice 3375786866 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

6444 NW Expressway
Oklahoma City, OK 73132
Phone (405) 470-6415

6444 NW Expressway
Ste 828A
Oklahoma City, OK 73132
Phone (405) 470-6415

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": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1407197866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 PROVIDENCE CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036155",
            "telephone_number": "918-557-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 PROVIDENCE CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036155",
            "telephone_number": "918-557-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-557-6299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4011",
            "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, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.