Idabel Chiropractic Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3768 Issued in OK

Legal business name

IDABEL CHIROPRACTIC CLINIC PLLC

Practice address

1420 SE Washington St
Idabel, OK 74745-3448

Phone

(580) 286-6546

NPI assigned

Aug 13, 2006

Last updated

Apr 21, 2009By 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

Dr. Eric L Ensley, D.C.NPI 1245271360

Title

Owner/Doctor

Phone

(580) 286-6546

Specialties & licenses 1

Addresses

Other names 1

• Ensley Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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.

• Eric L Ensley, D.C.

  • Chiropractor
  • Idabel, OK
  • NPI 1245271360
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1609888775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SE WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747453448",
            "telephone_number": "580-286-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SE WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747453448",
            "telephone_number": "580-286-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDABEL CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "ENSLEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "580-286-6546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ensley Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• April L Hurst, PT
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• Idabel Express Pharmacy, LLC (Idabel Express Pharmacy)
• Idabel Family Practice, LLC
• Idabel Health & Rehabilitation Center, LLC (Oak Grove Manor)
• Idabel Public Schools
• Idabel PV LLC (The Eye guys)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.