Organization Active NPI

Kirk Chiropractic, P.C.

Doing business as Kirk Chiropractic

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1659597417
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3374 Issued in OK
Legal business name
KIRK CHIROPRACTIC, P.C.
Doing business as
Kirk Chiropractic
Practice address
8514 N 128TH East Ave
Owasso, OK 74055-6242
Phone
(918) 272-6200
Fax
(918) 274-3724
NPI assigned
Apr 18, 2007
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Mrs. Holly Madene Kirk
Title
Office Manager
Phone
(918) 272-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3374 OK Primary

Addresses

Primary practice location

8514 N 128TH East Ave
Owasso, OK 74055-6242

Mailing address

8514 N 128TH East Ave
Owasso, OK 74055-6242
Phone (918) 272-6200

Other identifiers 1

IdentifierTypeStateIssuer
612649700OtherOKUS DEPT OF LABOR

Other names 1

  • Kirk Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091019000327 OK Part B Supplier - Clinic/Group Practice 4880731173 Receives reassigned benefits from 2 practitioners
Practice locations: Owasso, OK

National Provider Directory

National Provider Directory

Locations

12302 E 86th St N
Owasso, OK 74055
Phone (918) 272-6200

8514 N 128th East Ave
Owasso, OK 74055
Phone (918) 272-6200

Practitioners & affiliated clinicians

Practitioners 3

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1659597417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 N 128TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556242",
            "telephone_number": "918-272-6200",
            "fax_number": "918-274-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 N 128TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556242",
            "telephone_number": "918-272-6200",
            "fax_number": "918-274-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "MADENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-272-6200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "612649700",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirk Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.