Individual provider Active NPI

Olivia Hernandez, DC

  • Chiropractor
  • Yukon, OK
National Provider Identifier
1649064544
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4660 Issued in OK
Practice address
1050 W Vandament Ave
Yukon, OK 73099-3877
Phone
(405) 354-5753
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4660 OK Primary

Addresses

Primary practice location

1050 W Vandament Ave
Yukon, OK 73099-3877

Mailing address

1050 W Vandament Ave
Yukon, OK 73099-3877
Phone (405) 354-5753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627002655 OK Practitioner - Chiropractic 7517470081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lance Doyle DC PCGroup PAC ID 4688832280, 5 clinicians

Practice addresses (Care Compare)

1050 W Vandament Ave
Yukon, OK 73099-3877
Phone (405) 354-5753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4660OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lance Doyle DC PC CurrentSince Jun 16, 2025 Accepting new patients

Locations

1050 W Vandament Ave
Yukon, OK 73099
Phone (405) 354-5753

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": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1649064544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993877",
            "telephone_number": "405-354-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993877",
            "telephone_number": "405-354-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "OLIVIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.