NPIMap

Individual provider Active NPI

Elaine Laverne Clinton, D.C.

  • Chiropractor
  • Park Hill, OK
National Provider Identifier
1619208436
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3968 Issued in OK
Practice address
26251 Highway 82
Suite 2
Park Hill, OK 74451-3802
Phone
(918) 456-6400
Fax
(918) 456-6404
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3968 OK Primary

Addresses

Primary practice location

26251 Highway 82
Suite 2
Park Hill, OK 74451-3802

Mailing address

26251 Highway 82
Suite 2
Park Hill, OK 74451-3802
Phone (918) 456-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tenkiller Family Chiropracitc Chiropractor PastSince Aug 15, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1619208436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26251 HIGHWAY 82",
            "address_2": "SUITE 2",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744513802",
            "telephone_number": "918-456-6400",
            "fax_number": "918-456-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26251 HIGHWAY 82",
            "address_2": "SUITE 2",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744513802",
            "telephone_number": "918-456-6400",
            "fax_number": "918-456-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "ELAINE",
        "middle_name": "LAVERNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Hill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.