Cody T Elledge, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3835 Issued in OK

Practice address

5715 N Western Ave Ste B
Oklahoma City, OK 73118-1239

Phone

(405) 858-2225

Fax

(405) 858-0035

NPI assigned

Jun 6, 2007

Last updated

Jun 28, 2013By the provider in NPPES

Sex

Male

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

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cody Elledge D.C. PLLC.Group PAC ID 7618190976, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cody Elledge D.C. PLLC

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1821438854
  Medicare reassignment Care Compare group NPD Authorized official
• Brandon Mills Chiropractic PLLC

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1447439179
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1639372956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 N WESTERN AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181239",
            "telephone_number": "405-858-2225",
            "fax_number": "405-843-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 N WESTERN AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181239",
            "telephone_number": "405-858-2225",
            "fax_number": "405-858-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "CODY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June R. Elkins-Baker, CADC
• Charles Craig Elkins, MD
• Emma Glen Elkins, FNP-C
• Ciby Abraham Ellampally, PHARM. D.
• Elledge Chiropractic Clinic PLLC
• Layton Paul Elledge
• Michelle L Ellenburg, NP
• Sheri Dawn Ellenburg, RBT
• Brandi Eller
• Danny Mark Ellerd

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.