Myranda Shalane Golla, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4075 Issued in OK

Practice address

529 S 3Rd St
McAlester, OK 74501-5819

Phone

(918) 423-4100

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. G'S Chiropractic, PLLC

  • Chiropractor
  • McAlester, OK
  • NPI 1194067629
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1629328521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3094",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745023094",
            "telephone_number": "918-916-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S 3RD ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015819",
            "telephone_number": "918-423-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLA",
        "first_name": "MYRANDA",
        "middle_name": "SHALANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Glinton
• GLN of McAlester, Inc
• Efton Glover
• Shelby Delaine Goddard
• James Allen Golla, MD
• Adam Gabriel Gomez
• Anna Gomez
• Stacy Lynn Gorley, MA
• Lee Alice Goscin, M.D., PH.D.
• April Graham

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.