Organization Active NPI

Snyder Chiropractic P.L.L.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1639336415
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3838 Issued in OK
Legal business name
SNYDER CHIROPRACTIC P.L.L.C.
Practice address
4146 S Harvard Ave Ste F-5
Tulsa, OK 74135-2610
Phone
(918) 749-7772
Fax
(918) 749-9772
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Justin G Snyder, D.C.NPI 1730398785
Title
Owner
Phone
(918) 749-7772

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
Chiropractor 111N00000X 3838 OK Primary

Addresses

Primary practice location

4146 S Harvard Ave Ste F-5
Tulsa, OK 74135-2610

Mailing address

4146 S Harvard Ave Ste F-5
Tulsa, OK 74135-2610
Phone (918) 749-7772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090925000100 OK Part B Supplier - Clinic/Group Practice 1850447368 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

4146 S Harvard Ave
Ste F5
Tulsa, OK 74135
Phone (918) 749-7772

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1639336415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 S HARVARD AVE STE F-5",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352610",
            "telephone_number": "918-749-7772",
            "fax_number": "918-749-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 S HARVARD AVE STE F-5",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352610",
            "telephone_number": "918-749-7772",
            "fax_number": "918-749-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER CHIROPRACTIC P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-749-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.