Spinal Decompression of Oklahoma

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

SPINAL DECOMPRESSION OF OKLAHOMA

Practice address

1408 N Florence Ave
Claremore, OK 74017-3159

Phone

(918) 341-1250

Fax

(918) 341-7443

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dwight J Korgan, M.D.

Title

President

Phone

(918) 341-1250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1639361702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173159",
            "telephone_number": "918-341-1250",
            "fax_number": "918-341-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173159",
            "telephone_number": "918-341-1250",
            "fax_number": "918-341-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DECOMPRESSION OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "KORGAN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-341-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Spear, LCSW
• Bridgette R Spears
• Abbie Speer
• Matthew Alan Spencer
• Andrew Sperling, D.O.
• Louella Spottedwolf, RN, BSN
• Caleb Spreiter, D.C.
• Jill N Spreiter
• Spring Dental Claremore
• Spring Dental Claremore, PLLC

• Other Technician in Claremore, OK
• Providers in Claremore, OK by specialty
• Other Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.