Organization Active NPI

Chiropractic Health Clinic

  • Chiropractor
  • Shawnee, OK
National Provider Identifier
1649588096
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4127 Issued in OK
Legal business name
CHIROPRACTIC HEALTH CLINIC
Practice address
3705 N Harrison St
Shawnee, OK 74804-2223
Phone
(405) 273-6822
Fax
(888) 413-2901
NPI assigned
Sep 20, 2010
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Dr. David P Dickerson, DCNPI 1396801692
Title
Pres
Phone
(405) 273-6822

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
Chiropractor 111N00000X 4127 OK Primary

Addresses

Primary practice location

3705 N Harrison St
Shawnee, OK 74804-2223

Mailing address

3705 N Harrison St
Shawnee, OK 74804-2223
Phone (405) 273-6822

Other names 1

  • Dickerson Chiropractic Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

203 G St
Ste B
Salida, CO 81201
Phone (719) 539-4398

3705 N Harrison St
Shawnee, OK 74804
Phone (405) 273-6822

Practitioners & affiliated clinicians

Practitioners 2

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1649588096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042223",
            "telephone_number": "405-273-6822",
            "fax_number": "888-413-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042223",
            "telephone_number": "405-273-6822",
            "fax_number": "888-413-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "405-273-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dickerson Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.