Organization Active NPI

Brant T Koenig PLLC

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1578640975
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3800 Issued in OK
Legal business name
BRANT T KOENIG PLLC
Practice address
305 N Broadway
Edmond, OK 73034-3681
Phone
(405) 348-5901
Fax
(405) 348-5923
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Brant Thomas Koenig, D.C.
Title
Owner
Phone
(405) 348-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3800 OK Primary

Addresses

Primary practice location

305 N Broadway
Edmond, OK 73034-3681

Mailing address

800 W 18TH St
Suite 120
Edmond, OK 73013-3758
Phone (405) 286-0322

Other names 1

  • Koenig Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1578640975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 18TH ST",
            "address_2": "SUITE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133758",
            "telephone_number": "405-286-0322",
            "fax_number": "405-285-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343681",
            "telephone_number": "405-348-5901",
            "fax_number": "405-348-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANT T KOENIG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "BRANT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-348-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koenig Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.