Active NPI
Robert John Fenell, D.C.
- Chiropractor
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3398
- Practice address
- 3515 E 31St Street
B
Tulsa, OK 74135 - Phone
- (918) 749-4263
- Fax
- (888) 505-9606
- NPI assigned
- Sep 6, 2005
- Last updated
- Jun 13, 2013
- 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 | 3398 | OK | Primary |
Addresses
Primary practice location
3515 E 31St Street
B
Tulsa, OK 74135
Mailing address
3515 E 31St Street
B
Tulsa, OK 74135-3512
Phone (918) 749-4263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25 W Okmulgee Ave
Muskogee, OK 74401
Phone (918) 682-8282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3398 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskogee Chiropractic Hand & Foot Clinic, LLC | Chiropractor | Current | Accepting new patients |
| Tulsa Family Chiropractic | Chiropractor | Current | Accepting new patients |
| James W. Hines, D.C., P.C. | Chiropractor | Past | Accepting new patients |
| Kats and Associates, L.L.C. | Chiropractor | Past | Accepting new patients |
Locations
25 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-8282
3515 E 31st St
Ste B
Tulsa, OK 74135
Phone (918) 749-4263
Organizations & group practices 4
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.
-
dba Muskogee Chiropractic Hand & Foot Clinic
- Chiropractor
- Muskogee, OK
- NPI 1114718640
-
- Chiropractor
- Tulsa, OK
- NPI 1972638815
-
- Chiropractor
- Okmulgee, OK
- NPI 1073765293
-
- Chiropractor
- Broken Arrow, OK
- NPI 1770764722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1457345464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 E 31ST STREET",
"address_2": "B",
"city": "TULSA",
"state": "OK",
"postal_code": "741353512",
"telephone_number": "918-749-4263",
"fax_number": "888-505-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 E 31ST STREET",
"address_2": "B",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-749-4263",
"fax_number": "888-505-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENELL",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3398",
"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 Jun 13, 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.