Shawnee Spine

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

Legal business name

SHAWNEE SPINE

Practice address

1049 Vision Blvd Ste 700
Shawnee, OK 74804-1221

Phone

(405) 567-7716

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph HolmanNPI 1285972448

Title

Owner

Phone

(405) 567-7716

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Joseph Wesley Holman, D.C.

  • Chiropractor
  • Prague, OK
  • NPI 1285972448
  NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1578338661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N JIM THORPE BLVD",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748644563",
            "telephone_number": "405-567-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 VISION BLVD STE 700",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041221",
            "telephone_number": "405-567-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-567-7716"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnee Pedorthic Service, Inc.
• Shawnee Physical Therapy PC
• Shawnee Public Schools
• Shawnee Regional Hospital Pharmacy
• Shawnee Regional Pharmacy Inc (The Clinic Pharmacy)
• Laynie Dawn Shebester, PA-C
• Misty Dawn Sheldon, DDS
• Riley Shelton
• Nichole Hopkins Sherman, APRN
• Brittiany Sherwood

• Internist Chiropractor in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Internist Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.