Active NPI
Kimberly Ghelarducci
- Chiropractor
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3979
- Practice address
- 3600 NW 50TH St Ste C
Oklahoma City, OK 73112 - Phone
- (405) 976-7397
- Fax
- (405) 946-7411
- NPI assigned
- Apr 13, 2015
- Last updated
- May 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3979 | OK | Primary |
Addresses
Primary practice location
3600 NW 50TH St Ste C
Oklahoma City, OK 73112
Mailing address
3600 NW 50TH St Ste C
Oklahoma City, OK 73112-5638
Phone (405) 946-7397
Other practice location 1
7304 N Comanche Ave
Warr Acres, OK 73132-6635
Phone (405) 728-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7440 NW 39TH Expy
Bethany, OK 73008-2342
Phone (405) 946-7397
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3979 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brixton Indian Hills LLC | Chiropractor | Past | Accepting new patients |
| Brixton Square Chiropractic LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Oklahoma City, OK
- NPI 1003191222
Organizations & group practices 2
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.
-
dba Brixton Chiropractic & Acupuncture of Moore-Norman
- Chiropractor
- Warr Acres, OK
- NPI 1497173314
-
- Chiropractor
- Warr Acres, OK
- NPI 1821181744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1609262997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 NW 50TH ST STE C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125638",
"telephone_number": "405-946-7397",
"fax_number": "405-946-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NW 50TH ST STE C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-976-7397",
"fax_number": "405-946-7411"
}
],
"practiceLocations": [
{
"address_1": "7304 N Comanche Ave",
"address_purpose": "LOCATION",
"city": "Warr Acres",
"state": "OK",
"postal_code": "731326635",
"country_code": "US",
"telephone_number": "405-728-4851",
"fax_number": "405-728-0443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHELARDUCCI",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 16, 2018; 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.