Active NPI
Paul Kasishke II, D.C.
- Chiropractor
- Tulsa, OK
National Provider Identifier
1437609062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4234
- Practice address
- 11031 S Memorial Dr
Tulsa, OK 74133-7357 - Phone
- (918) 970-4309
- Fax
- (918) 970-4396
- NPI assigned
- Oct 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4234 | OK | Primary |
Addresses
Primary practice location
11031 S Memorial Dr
Tulsa, OK 74133-7357
Mailing address
11031 S Memorial Dr
Tulsa, OK 74133-7357
Phone (918) 970-4309
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4234 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1437609062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11031 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741337357",
"telephone_number": "918-970-4309",
"fax_number": "918-970-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11031 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741337357",
"telephone_number": "918-970-4309",
"fax_number": "918-970-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASISHKE",
"first_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-06",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4234",
"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 Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.