Organization Active NPI

January Chiropractic & Acupuncture PLLC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1427366913
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3996 Issued in OK
Legal business name
JANUARY CHIROPRACTIC & ACUPUNCTURE PLLC
Practice address
15007 Bristol Park Blvd
Oklahoma City, OK 73013
Phone
(405) 749-8000
Fax
(405) 749-8007
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Brandon January, DCNPI 1538477120
Title
Owner
Phone
(405) 749-8000

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 3996 OK Primary

Addresses

Primary practice location

15007 Bristol Park Blvd
Oklahoma City, OK 73013

Mailing address

15007 Bristol Park Blvd
Oklahoma City, OK 73013
Phone (405) 749-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000830 OK Part B Supplier - Clinic/Group Practice 0648459800 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

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": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1427366913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15007 BRISTOL PARK BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-749-8000",
            "fax_number": "405-749-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15007 BRISTOL PARK BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-749-8000",
            "fax_number": "405-749-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUARY CHIROPRACTIC & ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "JANUARY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-749-8000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.