Individual provider Active NPI

Chanda Helton, CMT

  • Massage Therapist
  • Elk City, OK
National Provider Identifier
1417670498
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
173610 Issued in OK
Practice address
2103 S Main St Ste N
Elk City, OK 73644-9167
Phone
(580) 243-0700
Fax
(580) 243-0771
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 173610 OK Primary

Addresses

Primary practice location

2103 S Main St Ste N
Elk City, OK 73644-9167

Mailing address

PO Box 40
Elk City, OK 73648-0040
Phone (580) 243-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
173610OKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Family Chiropractic P.C. CurrentSince Sep 25, 2022 Accepting new patients

Locations

2103 S Main St
Ste N
Elk City, OK 73644
Phone (580) 243-0700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1417670498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480040",
            "telephone_number": "580-243-0700",
            "fax_number": "580-243-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S MAIN ST STE N",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736449167",
            "telephone_number": "580-243-0700",
            "fax_number": "580-243-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "CHANDA",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OK",
            "license": "173610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.