Organization Active NPI

Joshua Spears

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1417166125
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3616 Issued in OK
Legal business name
JOSHUA SPEARS
Practice address
1512 S Boulevard St
Edmond, OK 73013-5140
Phone
(405) 844-8888
Fax
(405) 330-1529
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Kylee Goble
Title
Office Manager
Phone
(405) 844-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3616 OK Primary

Addresses

Primary practice location

1512 S Boulevard St
Edmond, OK 73013-5140

Mailing address

1512 S Boulevard St
Edmond, OK 73013-5140
Phone (405) 844-8888

Other names 1

  • Joshua Spears Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1512 S Boulevard
Edmond, OK 73013
Phone (405) 844-8888

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1417166125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135140",
            "telephone_number": "405-844-8888",
            "fax_number": "405-330-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135140",
            "telephone_number": "405-844-8888",
            "fax_number": "405-330-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA SPEARS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-844-8888"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua Spears Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2020; 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.