Individual provider Active NPI

Cody Blaine Powell, DC

  • Chiropractor
  • Clayton, OK
National Provider Identifier
1609350057
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4299 Issued in OK
Practice address
1020 Lawson Blvd
Clayton, OK 74536
Phone
(918) 569-4143
NPI assigned
Sep 21, 2018
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4299 OK Primary

Addresses

Primary practice location

1020 Lawson Blvd
Clayton, OK 74536

Mailing address

1020 Lawson Blvd
Clayton, OK 74536
Phone (918) 569-4143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131002997 OK Practitioner - Chiropractic 4486991239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

415 6TH St
Boswell, OK 74727-2072
Phone (580) 566-2530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pushmataha Family Medical Center Inc CurrentSince Dec 15, 2018 Accepting new patients
Pushmataha Family Medical Center, Inc CurrentSince Dec 15, 2018 Accepting new patients

Locations

415 6th St
Boswell, OK 74727
Phone (580) 566-2530

Interoperability endpoints

  • Direct secure messaging: cody.powell@pfmcok.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEIDAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1609350057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAWSON BLVD",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "74536",
            "telephone_number": "918-569-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LAWSON BLVD",
            "city": "CLAYTON",
            "state": "OK",
            "postal_code": "74536",
            "telephone_number": "918-569-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CODY",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.

Verify at the official NPI Registry.