Organization Active NPI

Shenloogian Chiropractic & Acupuncture Clinic, LLC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1508016098
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3901 Issued in OK
Legal business name
SHENLOOGIAN CHIROPRACTIC & ACUPUNCTURE CLINIC, LLC
Doing business as
Shenloogian Chiropractic
Practice address
4146 S Harvard Ave
Suite F-2
Tulsa, OK 74135-2610
Phone
(918) 933-5445
Fax
(918) 933-5446
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Dr. Jason Shenloogian, D.C.NPI 1780834259
Title
Managing Partner
Phone
(918) 645-0838

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3901 OK Primary

Addresses

Primary practice location

4146 S Harvard Ave
Suite F-2
Tulsa, OK 74135-2610

Mailing address

4146 S Harvard Ave
Suite F-2
Tulsa, OK 74135-2610
Phone (918) 933-5445

Other names 1

  • Shenloogian Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091014000814 OK Part B Supplier - Clinic/Group Practice 2466598875 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

4146 S Harvard Ave
Ste F2
Tulsa, OK 74135
Phone (918) 933-5445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1508016098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 S HARVARD AVE",
            "address_2": "SUITE F-2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352610",
            "telephone_number": "918-933-5445",
            "fax_number": "918-933-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 S HARVARD AVE",
            "address_2": "SUITE F-2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352610",
            "telephone_number": "918-933-5445",
            "fax_number": "918-933-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENLOOGIAN CHIROPRACTIC & ACUPUNCTURE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "SHENLOOGIAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "918-645-0838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenloogian Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

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