Spinal Decompression Center of Tulsa, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINAL DECOMPRESSION CENTER OF TULSA, LLC

Practice address

6951 E 71St St
Tulsa, OK 74133-2757

Phone

(918) 481-0655

Fax

(918) 481-8729

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Michael Lee Peterson, D.O.

Title

Chiropractor

Phone

(918) 481-0655

Specialties & licenses 1

Addresses

Tax ID family

Peterson Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peterson Chiropractic

  • Chiropractor
  • Tulsa, OK
  • NPI 1184759508
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian L Flournoy, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1639261670
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1578748133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6951 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332757",
            "telephone_number": "918-481-0655",
            "fax_number": "918-481-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6951 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332757",
            "telephone_number": "918-481-0655",
            "fax_number": "918-481-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DECOMPRESSION CENTER OF TULSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-481-0655",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Dawn Humphrey Spies
• Spillars Medical, P.C.
• Rodger Brannon Spillars, M.D.
• Julie Diane Spille, BS
• Stephanie Spillers, LPC
• Spinal Neurosurgical Associates, P.a.
• Spinal Therapeutic Services Inc
• Spine Spa PLLC
• Spine Specialists P C
• Spineshield Neuromonitoring LLC

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.