Frederick B Phillips Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1907 Issued in OK

Practice address

4010 NW Cache Rd
Lawton, OK 73505-3634

Phone

(580) 357-8688

Fax

(580) 357-7483

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Fred B Phillips Professional name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Phillips Chiropractic ,PLLC

  • Neurology Chiropractor
  • Lawton, OK
  • NPI 1902079692
  Authorized official Same address or phone
• Case Chiropractic LLC

  • Chiropractor
  • Lawton, OK
  • NPI 1811546260
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1598760258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053634",
            "telephone_number": "580-357-8688",
            "fax_number": "580-357-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053634",
            "telephone_number": "580-357-8688",
            "fax_number": "580-357-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "FREDERICK",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "OK",
            "license": "1907",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "OK",
            "license": "1907",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "1907",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "PHILLIPS",
            "middle_name": "B",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• PF Lawton SNF Ops, LLC (Montevista Rehabilitation and Skilled Care)
• Shelley Ozio Phelps, LPC
• Phenyx Home Care LLC
• Phillips Chiropractic ,PLLC
• April Phillips
• Jenny Phillips
• Kevin Phillips, DPH
• Samantha K Phillips
• Lorie K Philpott, RMT
• Physical Therapy Solutions, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.