West Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3356 Issued in OK

Legal business name

WEST CHIROPRACTIC PC

Practice address

1205 W Broadway Ave
Sulphur, OK 73086-4415

Phone

(580) 622-6688

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Matt C. West, D.C.NPI 1750376166

Title

President

Phone

(580) 622-6688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matt C West, DC

  • Chiropractor
  • Tahlequah, OK
  • NPI 1750376166
  Medicare reassignment NPD Authorized official
• Robert Thomas Vallandingham, D.C.

  • Chiropractor
  • Sulphur, OK
  • NPI 1174632525
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1679762173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864415",
            "telephone_number": "580-622-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-622-6688",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darsha Marie Venegas
• Jami Dawn Wages
• Wal-Mart Stores East LP
• Amy Lynn Walker, PRSS
• Deanna Watterson
• Darci Nicole White, FSP
• Randal A Williams, M.D.
• Brenda Kay Winters, NP
• Candice Woods, APRN-CNP
• Mary Woods

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.