Tim S Harris, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3607 Issued in OK

Practice address

930 W Main St
Jenks, OK 74037-3523

Phone

(918) 299-5559

Fax

(844) 313-8488

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Tulsa Chiropractic PC

  • Chiropractor
  • Jenks, OK
  • NPI 1780800276
  Medicare reassignment NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1407941024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373523",
            "telephone_number": "918-299-5559",
            "fax_number": "844-313-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373523",
            "telephone_number": "918-299-5559",
            "fax_number": "844-313-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beth Harrell, APRN
• Harris Chiropractic Clinic, P.C.
• Harris Sports Chiropractic & Wellness Center
• Carla H Harris, DC DICCP
• Paul Eugene Harris, DC CCSP
• Ronda Lynn Harrison, PT
• Lisa E Hart, DO
• Madison Hayward
• Krystle Hazelwood
• Sheila Kay Henderson, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.