Organization Active NPI

Jake Landreth, DC, Inc

Doing business as Landreth Chiropractic

  • Chiropractor
  • Skiatook, OK
National Provider Identifier
1578950952
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4002 Issued in OK
Legal business name
JAKE LANDRETH, DC, INC
Doing business as
Landreth Chiropractic
Practice address
108 N. Broadway
Skiatook, OK 74070
Phone
(918) 396-2848
Fax
(318) 553-8802
NPI assigned
Apr 23, 2015
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Dr. Jake Wesley Landreth, DCNPI 1902106768
Title
President
Phone
(918) 521-8888

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4002 OK Primary

Addresses

Primary practice location

108 N. Broadway
Skiatook, OK 74070

Mailing address

PO Box 877
Skiatook, OK 74070-0877
Phone (918) 396-2848

Other names 1

  • LANDRETH CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150602001693 OK Part B Supplier - Clinic/Group Practice 3577884642 Receives reassigned benefits from 1 practitioner
Practice locations: Skiatook, OK

National Provider Directory

National Provider Directory

Locations

108 N Broadway St
Skiatook, OK 74070
Phone (918) 396-2848

1300 W 4th St
Skiatook, OK 74070
Phone (918) 396-2848

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1578950952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740700877",
            "telephone_number": "918-396-2848",
            "fax_number": "918-553-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N. BROADWAY",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "74070",
            "telephone_number": "918-396-2848",
            "fax_number": "318-553-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE LANDRETH, DC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "LANDRETH",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-521-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANDRETH CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skiatook, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.