Organization Active NPI

Kendrick M. Higo DC, PLLC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1528606837
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KENDRICK M. HIGO DC, PLLC
Doing business as
Kendrick M. Higo, DC
Practice address
3315 E 47TH PL Ste 120
Tulsa, OK 74135-2911
Phone
(918) 622-9655
Fax
(918) 622-9657
NPI assigned
Dec 17, 2019
Organization subpart
Yes
Parent organization
TERRY R TATUM, DC, PC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Mrs. Suellyn Sparks
Title
Office and Billing Manager
Phone
(918) 622-9655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3315 E 47TH PL Ste 120
Tulsa, OK 74135-2911

Mailing address

3315 E 47TH Place
Suite 120
Tulsa, OK 74135
Phone (918) 622-9655

Other names 1

  • Kendrick M. Higo, DC Doing business as

National Provider Directory

National Provider Directory
Part of
Terry R Tatum DC PC Inc

Locations

3315 E 47th Pl
Ste 120
Tulsa, OK 74135
Phone (918) 203-7588

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1528606837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 E 47TH PLACE",
            "address_2": "SUITE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-622-9655",
            "fax_number": "918-622-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 E 47TH PL STE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352911",
            "telephone_number": "918-622-9655",
            "fax_number": "918-622-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRICK M. HIGO DC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TERRY R TATUM, DC, PC, INC",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "SUELLYN",
        "authorized_official_title_or_position": "OFFICE AND BILLING MANAGER",
        "authorized_official_telephone_number": "918-622-9655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendrick M. Higo, DC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kendrick M. Higo, DC",
            "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 Jan 13, 2020; 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.