Organization Active NPI

Sprowls Chiropractic Corporation

  • Chiropractor
  • Pauls Valley, OK
National Provider Identifier
1558538595
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3710 Issued in OK
Legal business name
SPROWLS CHIROPRACTIC CORPORATION
Practice address
104 North Indian Meridian Road
Pauls Valley, OK 73075-0177
Phone
(405) 238-4888
Fax
(405) 238-2103
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Dr. Jonas R Sprowls, DCNPI 1780681577
Title
Doctor/Owner
Phone
(405) 238-4888

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3710 OK Primary

Addresses

Primary practice location

104 North Indian Meridian Road
Pauls Valley, OK 73075-0177

Mailing address

PO Box 177
Pauls Valley, OK 73075-0177
Phone (405) 238-4888

Other identifiers 2

IdentifierTypeStateIssuer
400522466OtherOKMEDICARE GROUP
446621854OtherOKBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100308000928 OK Part B Supplier - Clinic/Group Practice 8123163672 Receives reassigned benefits from 1 practitioner
Practice locations: Pauls Valley, OK

National Provider Directory

National Provider Directory

Locations

104 N Indian Meridian Rd
Pauls Valley, OK 73075
Phone (405) 238-4888

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1558538595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750177",
            "telephone_number": "405-238-4888",
            "fax_number": "405-238-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NORTH INDIAN MERIDIAN ROAD",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750177",
            "telephone_number": "405-238-4888",
            "fax_number": "405-238-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROWLS CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "SPROWLS",
        "authorized_official_first_name": "JONAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "405-238-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "400522466",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "446621854",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.