Russell Dale Gilstrap, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2449 Issued in OK

Practice address

3900 S 113TH West Ave
Sand Springs, OK 74063-2724

Phone

(918) 241-3901

Fax

(918) 241-3902

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Russell Dale Gilstrap Professional name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Cleveland Chiropractic College - Kansas City, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gilstrap Clinics PC

  • Primary Care Clinic/Center
  • Sand Springs, OK
  • NPI 1063877017
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1659455517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S 113TH WEST AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740632724",
            "telephone_number": "918-241-3901",
            "fax_number": "918-241-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S 113TH WEST AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740632724",
            "telephone_number": "918-241-3901",
            "fax_number": "918-241-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSTRAP",
        "first_name": "RUSSELL",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2449",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "97265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSSELL",
            "last_name": "GILSTRAP",
            "middle_name": "DALE",
            "credential": "APRN-FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Frank L. Frederick, DO
• Jubilee Frizzell
• Craig Gahring, DPH
• Genesis Family Chiropractic, LLC
• Gilstrap Clinics PC
• Alexie Zuri Gonzalez, LPC CANDIDATE
• Good Work Counseling LLC
• Joanna Kay Goodin
• Kai Graham, SLP
• Green Country Volunteer Fire & Rescue

• Chiropractor in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.