Organization Active NPI

Northside Family Chiropractic PLLC

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1609009596
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3945 Issued in OK
Legal business name
NORTHSIDE FAMILY CHIROPRACTIC PLLC
Practice address
13720 E 86TH St N
Suite 130
Owasso, OK 74055-8704
Phone
(918) 274-3888
Fax
(918) 274-3894
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Stefanie Marie Jones, D.C.
Title
Member
Phone
(918) 274-3888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3945 OK Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3944 OK

Addresses

Primary practice location

13720 E 86TH St N
Suite 130
Owasso, OK 74055-8704

Mailing address

13720 E 86TH St N
Suite 130
Owasso, OK 74055-8704
Phone (918) 274-3888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1609009596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 E 86TH ST N",
            "address_2": "SUITE 130",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558704",
            "telephone_number": "918-274-3888",
            "fax_number": "918-274-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 E 86TH ST N",
            "address_2": "SUITE 130",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558704",
            "telephone_number": "918-274-3888",
            "fax_number": "918-274-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-274-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3945",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.