Individual provider Active NPI

Gary E Palmer, D.C.

  • Chiropractor
  • Kingfisher, OK
National Provider Identifier
1497841175
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1775 Issued in OK
Practice address
723 S. Main Street
Kingfisher, OK 73750
Phone
(405) 375-5497
Fax
(405) 375-5485
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1775 OK Primary

Addresses

Primary practice location

723 S. Main Street
Kingfisher, OK 73750

Mailing address

723 S. Main Street
Kingfisher, OK 73750
Phone (405) 375-5497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000278 OK Practitioner - Chiropractic 8022277441 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1775OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Palmer Newell Dcpllc Dba Palmer Chiropractic Clinic Chiropractor CurrentSince Nov 17, 2011 Accepting new patients

Locations

723 S Main St
Kingfisher, OK 73750
Phone (405) 375-5497

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1497841175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S. MAIN STREET",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "73750",
            "telephone_number": "405-375-5497",
            "fax_number": "405-375-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S. MAIN STREET",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "73750",
            "telephone_number": "405-375-5497",
            "fax_number": "405-375-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "GARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingfisher, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.