Organization Active NPI

States Chiropractic PLLC

  • Chiropractor
  • Shawnee, OK
National Provider Identifier
1467880856
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4073 Issued in OK
Legal business name
STATES CHIROPRACTIC PLLC
Practice address
2806 N Kickapoo Ave
Shawnee, OK 74804-1798
Phone
(405) 275-1948
Fax
(405) 275-1958
NPI assigned
Oct 22, 2013
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Dr. Kyle Lee States, D.C.NPI 1376894600
Title
Owner/Operator
Phone
(405) 275-1948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4073 OK Primary

Addresses

Primary practice location

2806 N Kickapoo Ave
Shawnee, OK 74804-1798

Mailing address

2806 N Kickapoo Ave
Shawnee, OK 74804-1798
Phone (405) 275-1948

National Provider Directory

National Provider Directory

Locations

2806 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 395-2118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1467880856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041798",
            "telephone_number": "405-275-1948",
            "fax_number": "405-275-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041798",
            "telephone_number": "405-275-1948",
            "fax_number": "405-275-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATES CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "STATES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "405-275-1948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.