Todd Park, Y.C.C., Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TODD PARK, Y.C.C., INC.

Doing business as

YUKON CHIROPRACTIC CLINIC PC

Practice address

401 W Vandament Ave
Ste 103
Yukon, OK 73099-4654

Phone

(405) 354-2084

Fax

(405) 265-2582

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Todd Park, DC

Title

Chiropractor

Phone

(405) 354-2084

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• YUKON CHIROPRACTIC CLINIC PC Doing business as

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1447477021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W VANDAMENT AVE",
            "address_2": "STE 103",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994654",
            "telephone_number": "405-354-2084",
            "fax_number": "405-265-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W VANDAMENT AVE",
            "address_2": "STE 103",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994654",
            "telephone_number": "405-354-2084",
            "fax_number": "405-265-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD PARK, Y.C.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "405-354-2084",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "466759190-004",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "360605",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3487525",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YUKON CHIROPRACTIC CLINIC PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Parkinson Counseling LLC
• Heather Tirogiannis
• Louis Tirogiannis
• Tony Abraham Titty, D.D.S.
• Payton Emma Tobin, PA-C
• Ashley Tolbert
• Regina Tomichen, MD
• Tammy Marie Tomlinson, R.N.
• Amie Melisa Torres, PA-C
• Lorie Lee Torres

• Chiropractor in Yukon, OK
• Providers in Yukon, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.