Bryce Cameron Colt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4453 Issued in OK

Practice address

9455 N Owasso Expy Ste J
Owasso, OK 74055-5457

Phone

(918) 212-0084

NPI assigned

Nov 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Restoration Chiropractic LLC

  • Chiropractor
  • Owasso, OK
  • NPI 1639820178
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1477218170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 N OWASSO EXPY STE J",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555457",
            "telephone_number": "918-212-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 N OWASSO EXPY STE J",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555457",
            "telephone_number": "918-212-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLT",
        "first_name": "BRYCE",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "OK",
            "license": "4453",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.restorationowasso.com",
            "affiliation": "N",
            "address_1": "9455 N Owasso Expy Ste J",
            "city": "Owasso",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740555457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy Jo Coletta
• Joshua Collins, COTA/L
• Kassidy Collins
• Sedric D Collins
• Debra Sue Colpitt, M.D.
• Marty Drake Colvin, CM
• Community Counseling of Owasso, LLC
• Conhold of Owasso LLC (Sequoyah Pointe Living Center)
• Charlotte Ann Cook
• Kamryn Cook

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.