Paul Eugene Harris, DC CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3066 Issued in OK

Practice address

521 W Main St
Jenks, OK 74037-3750

Phone

(918) 299-6396

Fax

(918) 299-6397

NPI assigned

Jul 29, 2005

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1985

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harris Sports Chiropractic & Wellness Center

  • Sports Physician Chiropractor
  • Jenks, OK
  • NPI 1205375441
  Medicare reassignment Authorized official
• Harris Chiropractic Clinic, P.C.

  • Clinic/Center
  • Jenks, OK
  • NPI 1093839615
  Authorized official Same address or phone

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1669472726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373750",
            "telephone_number": "918-299-6396",
            "fax_number": "918-299-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373750",
            "telephone_number": "918-299-6396",
            "fax_number": "918-299-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAUL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla J Hansen, APRN
• Amy Beth Harrell, APRN
• Harris Chiropractic Clinic, P.C.
• Harris Sports Chiropractic & Wellness Center
• Carla H Harris, DC DICCP
• Tim S Harris, DC
• Ronda Lynn Harrison, PT
• Lisa E Hart, DO
• Ashley Taylor Harvey, OTR/L
• Madison Hayward

• Chiropractor in Jenks, OK
• Providers in Jenks, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.