Individual provider Active NPI

Edward E Echalk, D.C.

  • Sports Physician Chiropractor
  • Stillwater, OK
National Provider Identifier
1508945932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2624 Issued in OK
Practice address
211 S Perkins Rd
Suite 20
Stillwater, OK 74074-3651
Phone
(405) 372-2400
Fax
(405) 372-2439
NPI assigned
Nov 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2624 OK Primary

Addresses

Primary practice location

211 S Perkins Rd
Suite 20
Stillwater, OK 74074-3651

Mailing address

211 S Perkins Rd
Suite 20
Stillwater, OK 74074-3651
Phone (405) 372-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Chiropractic Clinic Inc PastSince Nov 1, 2006 Accepting new patients

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": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508945932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S PERKINS RD",
            "address_2": "SUITE 20",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743651",
            "telephone_number": "405-372-2400",
            "fax_number": "405-372-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S PERKINS RD",
            "address_2": "SUITE 20",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743651",
            "telephone_number": "405-372-2400",
            "fax_number": "405-372-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHALK",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OK",
            "license": "2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.