Javersak Family Chiropractic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

3513 Issued in OK

Legal business name

JAVERSAK FAMILY CHIROPRACTIC

Practice address

1005 Shady Holw
1005 Shady Hollow CT
McAlester, OK 74501-8342

Phone

(918) 424-9555

Fax

(918) 420-5552

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Lynn Javersak, DC

Title

Chiropractic

Phone

(918) 424-9555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1649547001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SHADY HOLW",
            "address_2": "1005 SHADY HOLLOW CT",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745018342",
            "telephone_number": "918-424-9555",
            "fax_number": "918-420-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SHADY HOLW",
            "address_2": "1005 SHADY HOLLOW CT",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745018342",
            "telephone_number": "918-424-9555",
            "fax_number": "918-420-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVERSAK FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "JAVERSAK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "918-424-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OK",
            "license": "3513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K Jackson, MD
• Trista Jacques
• James L Smith
• Domenic James
• Javersak Chiropractic & Spine Center, Inc PC
• Andrea Javersak, DC
• Shayne Andrew Javersak, BS, DC
• Tiffany Ann Jeffrey
• Brett Jeffries
• Leslie Jeffries, DNP, APRN

• Point of Service in McAlester, OK
• Providers in McAlester, OK by specialty
• Point of Service in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.