Individual provider Active NPI

Shawna Nichole Ortiz, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1578861753
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4011 Issued in OK
Practice address
6444 NW Expressway
Suite 828a
Oklahoma City, OK 73132-5131
Phone
(405) 470-6415
Fax
(405) 470-6417
NPI assigned
Mar 11, 2011
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4011 OK Primary

Addresses

Primary practice location

6444 NW Expressway
Suite 828a
Oklahoma City, OK 73132-5131

Mailing address

1132 Providence CT
Edmond, OK 73003-6155
Phone (918) 557-6299

Other names 1

  • Dr. Shawna Nichole Benight Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000125 OK Practitioner - Chiropractic 8022251511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6444 Northwest Expwy
Oklahoma City, OK 73132-5104
Phone (405) 470-6415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Family Chiropractic Chiropractor CurrentSince Apr 25, 2013 Accepting new patients

Locations

6444 NW Expressway
Oklahoma City, OK 73132
Phone (405) 470-6415

6444 NW Expressway
Ste 828A
Oklahoma City, OK 73132
Phone (405) 470-6415

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1578861753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 PROVIDENCE CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036155",
            "telephone_number": "918-557-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 NW EXPRESSWAY",
            "address_2": "SUITE 828A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325131",
            "telephone_number": "405-470-6415",
            "fax_number": "405-470-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "SHAWNA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "BENIGHT",
            "middle_name": "NICHOLE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.