Individual provider Active NPI

Raymond Chad Yeager, DC

  • Chiropractor
  • Moore, OK
National Provider Identifier
1528219847
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3845 Issued in OK
Practice address
1991 Tower Dr Ste G
Moore, OK 73160-2388
Phone
(405) 735-8282
NPI assigned
Oct 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3845 OK Primary

Addresses

Primary practice location

1991 Tower Dr Ste G
Moore, OK 73160-2388

Mailing address

1991 Tower Dr Ste G
Moore, OK 73160-2388
Phone (405) 735-8282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000343 OK Practitioner - Chiropractic 2365590809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1991 Tower Dr
Suite G
Moore, OK 73160-2388
Phone (405) 664-9927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3845OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MTP Chiropractic LLC Chiropractor CurrentSince Dec 20, 2016 Accepting new patients
Muskogee Chiropractic Hand & Foot Clinic, LLC Chiropractor PastSince May 18, 2025 Accepting new patients

Locations

1991 Tower Dr
Ste G
Moore, OK 73160
Phone (405) 664-9927

Organizations & group practices 2

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1528219847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 TOWER DR STE G",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602388",
            "telephone_number": "405-735-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 TOWER DR STE G",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602388",
            "telephone_number": "405-735-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "RAYMOND",
        "middle_name": "CHAD",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.