CHI-Med Leasing, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3459 Issued in OK

Legal business name

CHI-MED LEASING, INC.

Doing business as

Neck & Back Pain Tmt Center

Practice address

204A S Grand St
Grove, OK 74344-3225

Phone

(918) 786-6500

Fax

(918) 786-6500

NPI assigned

Apr 21, 2010

Last updated

Apr 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheron Lewis, D.C.

Title

President

Phone

(918) 786-6500

Specialties & licenses 1

Addresses

Other names 1

• Neck & Back Pain Tmt Center Doing business as

Locations

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1609193317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27910 S 563 RD",
            "city": "AFTON",
            "state": "OK",
            "postal_code": "743318076",
            "telephone_number": "918-786-6500",
            "fax_number": "918-786-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204A S GRAND ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443225",
            "telephone_number": "918-786-6500",
            "fax_number": "918-786-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI-MED LEASING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-786-6500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "3459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neck & Back Pain Tmt Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Nicole Chamberlain
• Samantha L Chamberlain, PT, DPT, CERT-MMOA
• Emily Ann Chandler, FNP
• James B Chapman, M.D.
• Craig Michael Cheek
• Charles Joseph Chouteau, MD
• Maria A Cicio
• Jenniffer Colleen Clark I
• Lance Clark, PT
• Rachel Megan Clark

• Rehabilitation Chiropractor in Grove, OK
• Providers in Grove, OK by specialty
• Rehabilitation Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.