Organization Active NPI

Fisher Chiropractic Clinic Inc.

  • Medical Specialty Clinic/Center
  • Elk City, OK
National Provider Identifier
1649545120
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2094 Issued in OK
Legal business name
FISHER CHIROPRACTIC CLINIC INC.
Practice address
1009 N Main St
Elk City, OK 73644-2830
Phone
(580) 225-2030
Fax
(580) 225-0603
NPI assigned
Mar 15, 2012
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Dr. Bill Lee Fisher, D. C.NPI 1699832337
Title
Chiropractor
Phone
(580) 225-2030

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
Medical Specialty Clinic/Center 261QM2500X 2094 OK Primary

Addresses

Primary practice location

1009 N Main St
Elk City, OK 73644-2830

Mailing address

1009 N Main St
Elk City, OK 73644-2830
Phone (580) 225-2030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000456 OK Part B Supplier - Clinic/Group Practice 1951557180 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Elk City, OK

National Provider Directory

National Provider Directory

Locations

1009 N Main St
Elk City, OK 73644
Phone (580) 225-2030

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": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1649545120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442830",
            "telephone_number": "580-225-2030",
            "fax_number": "580-225-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442830",
            "telephone_number": "580-225-2030",
            "fax_number": "580-225-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "580-225-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.