Organization Active NPI

Wedman Chiropractic PC

  • Exclusive Provider Organization
  • Jenks, OK
National Provider Identifier
1649465022
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
3307 Issued in OK
Legal business name
WEDMAN CHIROPRACTIC PC
Practice address
715 W Main St Ste P
Jenks, OK 74037-3553
Phone
(918) 299-8338
Fax
(918) 299-8336
NPI assigned
Sep 10, 2007
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Joshua Mark Wedman, D.C.NPI 1811047046
Title
Chiropractor
Phone
(918) 299-8338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 3307 OK Primary

Addresses

Primary practice location

715 W Main St Ste P
Jenks, OK 74037-3553

Mailing address

715 W Main St Ste P
Jenks, OK 74037-3553
Phone (918) 299-8338

Other identifiers 1

IdentifierTypeStateIssuer
1811047046OtherOKINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

2016 W Houston St
Broken Arrow, OK 74012
Phone (918) 251-2663

715 W Main St
Ste E
Jenks, OK 74037
Phone (918) 299-8338

715 W Main St
Ste P
Jenks, OK 74037
Phone (918) 296-7045

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1649465022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST STE P",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373553",
            "telephone_number": "918-299-8338",
            "fax_number": "918-299-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST STE P",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373553",
            "telephone_number": "918-299-8338",
            "fax_number": "918-299-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDMAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "WEDMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-299-8338",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OK",
            "license": "3307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1811047046",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.