Individual provider Active NPI

Timothy Tod Tregoning, D.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1437244746
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2589 Issued in OK
Practice address
11014 E. 51 St.
Tulsa, OK 74146
Phone
(918) 664-2412
Fax
(918) 664-2433
NPI assigned
Oct 3, 2006
Last updated
Sep 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2589 OK Primary

Addresses

Primary practice location

11014 E. 51 St.
Tulsa, OK 74146

Mailing address

4705 W Urbana St
Broken Arrow, OK 74012-5998
Phone (918) 893-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000152 OK Practitioner - Chiropractic 3971643651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Chiropractic Clinic Inc PCGroup PAC ID 9537326301, 2 clinicians

Practice addresses (Care Compare)

10115 E 80TH St
Suite B
Tulsa, OK 74133-3425
Phone (918) 893-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Chiropractic Clinic Inc PC Chiropractor CurrentSince Nov 10, 2011 Accepting new patients

Locations

4705 W Urbana St
Broken Arrow, OK 74012
Phone (918) 872-8653

10115 E 80th St
Ste B
Tulsa, OK 74133
Phone (918) 893-6400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1437244746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125998",
            "telephone_number": "918-893-6400",
            "fax_number": "918-893-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11014 E. 51 ST.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74146",
            "telephone_number": "918-664-2412",
            "fax_number": "918-664-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGONING",
        "first_name": "TIMOTHY",
        "middle_name": "TOD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.