Epic Connection Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EPIC CONNECTION CHIROPRACTIC, LLC

Practice address

1344 E Hillside Dr
Broken Arrow, OK 74012-2389

Phone

(918) 921-4247

NPI assigned

Jan 29, 2018

Last updated

Jan 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Malaki Walker Bolton, DCNPI 1467950055

Title

Chiropractor

Phone

(918) 728-9301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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.

• Malaki Walker Bolton, DC

  • Chiropractor
  • Broken Arrow, OK
  • NPI 1467950055
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1497253009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 E HILLSIDE DR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122389",
            "telephone_number": "918-921-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 E HILLSIDE DR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122389",
            "telephone_number": "918-921-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC CONNECTION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "MALAKI",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-728-9301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enhance Care
• Chandler Enkey
• ENT and Sinus Solutions LLC
• Envision Medical & Surgical Eye Care PC
• Envision Medical & Surgical Eye Care PC
• Erika Diaz Counseling LLC
• Micaela Victoria Eschman
• Jon Ann Esponge, APRN, FNP-C
• Essential Anesthesia Management, LLC
• Eton Home Healthcare, Inc.

• Chiropractor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.