Jonathan Ray Vestal, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4136 Issued in OK

Practice address

1809 Commons Cir Ste a
Yukon, OK 73099-9528

Phone

(405) 577-6268

Fax

(405) 577-6371

NPI assigned

Aug 19, 2013

Reactivated

Jun 14, 2018

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

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Wellness Chiropractic PCGroup PAC ID 4385715010, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Family Wellness Chiropractic PC

  • Chiropractor
  • Yukon, OK
  • NPI 1154503639
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1508299116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 COMMONS CIR",
            "address_2": "STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999528",
            "telephone_number": "405-577-6268",
            "fax_number": "405-451-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 COMMONS CIR STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999528",
            "telephone_number": "405-577-6268",
            "fax_number": "405-577-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESTAL",
        "first_name": "JONATHAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "deactivation_date": "2018-05-22",
        "reactivation_date": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009298",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Variety Care, Inc.
• Jacob Vaughan
• Anembom Mineku Vegah
• Shanice Velez-Patron
• Thomasina Veliu
• Teresa Ann Vestal, D.C.
• Christi Lea Vick, MSN, APRN, AGNP-CNP
• Vincent a Glass Psy D Inc P C
• Vision Choice Center
• Visiting Angels, Living Assistance Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.