Individual provider Active NPI

Daren L Kirk, D.C.

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1487727970
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3374 Issued in OK
Practice address
8514 N 128TH East Ave
Owasso, OK 74055-6242
Phone
(918) 272-6200
Fax
(918) 274-3724
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3374 OK Primary

Addresses

Primary practice location

8514 N 128TH East Ave
Owasso, OK 74055-6242

Mailing address

12302 E 86TH St N
Owasso, OK 74055-2543
Phone (918) 272-6200

Other identifiers 2

IdentifierTypeStateIssuer
612649700OtherOKUS DEPT OF LABOR
OK700861OtherOKINDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000353 OK Practitioner - Chiropractic 9234276528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Kirk Chiropractic, P.C.Group PAC ID 4880731173, 3 clinicians

Practice addresses (Care Compare)

8514 N 128TH E Ave
Owasso, OK 74055-6242
Phone (918) 272-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3374OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk Chiropractic, P.C. Chiropractor CurrentSince Aug 4, 2009 Accepting new patients

Locations

8514 N 128th East Ave
Owasso, OK 74055
Phone (918) 272-6200

12302 E 86th St N
Owasso, OK 74055
Phone (918) 272-6200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1487727970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552543",
            "telephone_number": "918-272-6200",
            "fax_number": "918-274-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 N 128TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556242",
            "telephone_number": "918-272-6200",
            "fax_number": "918-274-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DAREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "612649700",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "OK700861",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.