Organization Active NPI

Chiropractic Doctors Inc

  • Orthopedic Chiropractor
  • Tulsa, OK
National Provider Identifier
1568522324
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1806 Issued in OK
Legal business name
CHIROPRACTIC DOCTORS INC
Practice address
6717 S Yale Ave
Suite 110
Tulsa, OK 74136-3311
Phone
(918) 492-0087
Fax
(918) 496-0952
NPI assigned
Dec 11, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Brad M. Hayes, DCNPI 1467480822
Title
President
Phone
(918) 492-0087

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
Orthopedic Chiropractor 111NX0800X 1806 OK Primary

Addresses

Primary practice location

6717 S Yale Ave
Suite 110
Tulsa, OK 74136-3311

Mailing address

6717 S Yale Ave
Suite 110
Tulsa, OK 74136-3311
Phone (918) 492-0087

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000111 OK Part B Supplier - Clinic/Group Practice 5698936573 Receives reassigned benefits from 2 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

6717 S Yale Ave
Ste 110
Tulsa, OK 74136
Phone (918) 492-0087

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1568522324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 S YALE AVE",
            "address_2": "SUITE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363311",
            "telephone_number": "918-492-0087",
            "fax_number": "918-496-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 S YALE AVE",
            "address_2": "SUITE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363311",
            "telephone_number": "918-492-0087",
            "fax_number": "918-496-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC DOCTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-492-0087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OK",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 2012; 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.