Organization Active NPI

Family Chiropractic P C

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1619092483
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3446 Issued in OK
Legal business name
FAMILY CHIROPRACTIC P C
Doing business as
Advanced Relief Chiropractic
Practice address
8901 S Santa Fe Ave
Suite a
Oklahoma City, OK 73139-8413
Phone
(405) 634-0042
Fax
(405) 632-7976
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Robynn Michelle Poortvliet, D.C.NPI 1225094915
Title
President
Phone
(405) 822-4476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3446 OK Primary

Addresses

Primary practice location

8901 S Santa Fe Ave
Suite a
Oklahoma City, OK 73139-8413

Mailing address

PO Box 21824
Oklahoma City, OK 73156-1824
Phone (405) 634-0042

Other names 1

  • Advanced Relief Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000732 OK Part B Supplier - Clinic/Group Practice 4183723984 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Tax ID family
Advanced Relief Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8901 S Santa Fe Ave
Ste A
Oklahoma City, OK 73139
Phone (405) 634-0042

7921 N May Ave
Oklahoma City, OK 73120
Phone (405) 822-4476

13316 S Western Ave
Ste Jk
Oklahoma City, OK 73170
Phone (405) 548-5693

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1619092483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21824",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731561824",
            "telephone_number": "405-634-0042",
            "fax_number": "405-632-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 S SANTA FE AVE",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398413",
            "telephone_number": "405-634-0042",
            "fax_number": "405-632-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "POORTVLIET",
        "authorized_official_first_name": "ROBYNN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-822-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Relief Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2008; 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.