Individual provider Active NPI

Michelle Lynn Adams, D.C.

  • Chiropractor
  • Lawton, OK
National Provider Identifier
1699176107
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4169 Issued in OK
Practice address
1711 W Gore Blvd Ste C
Lawton, OK 73501-3638
Phone
(580) 695-5273
Fax
(580) 209-4670
NPI assigned
Sep 16, 2014
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4169 OK Primary

Addresses

Primary practice location

1711 W Gore Blvd Ste C
Lawton, OK 73501-3638

Mailing address

2945 NW Euclid Ave
Lawton, OK 73505-6239
Phone (580) 695-5273

Other identifiers 1

IdentifierTypeStateIssuer
U25174MedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030000143 OK Practitioner - Chiropractic 0143441493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1709 W Gore Blvd
Suite C
Lawton, OK 73501-3650
Phone (580) 695-5273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4169OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align & Restore Chiropractic Chiropractor CurrentSince Apr 1, 2021 Accepting new patients

Locations

1709 W Gore Blvd
Ste C
Lawton, OK 73501

1711 W Gore Blvd
Lawton, OK 73501
Phone (580) 695-5273

1711 W Gore Blvd
Ste C
Lawton, OK 73501
Phone (580) 695-5273

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1699176107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 NW EUCLID AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056239",
            "telephone_number": "580-695-5273",
            "fax_number": "580-209-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W GORE BLVD STE C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013638",
            "telephone_number": "580-695-5273",
            "fax_number": "580-209-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U25174",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.