Individual provider Active NPI

Robert John Fenell, D.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1457345464
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3398 Issued in OK
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20250616001297 OK Practitioner - Chiropractic 7416196597 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
3398OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Muskogee Chiropractic Hand & Foot Clinic, LLC Chiropractor CurrentSince May 19, 2025 Accepting new patients
Tulsa Family Chiropractic Chiropractor Current Accepting new patients
James W. Hines, D.C., P.C. Chiropractor PastSince May 1, 2009 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.

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.

Verify at the official NPI Registry.