Organization Active NPI

Harrison Chiropractic PLLC

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1700616679
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HARRISON CHIROPRACTIC PLLC
Practice address
1122 Dustin Dr
Edmond, OK 73003-4908
Phone
(918) 961-1822
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Bryce Harrison, DCNPI 1285229120
Title
Owner
Phone
(918) 961-1822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1122 Dustin Dr
Edmond, OK 73003-4908

Mailing address

1122 Dustin Dr
Edmond, OK 73003-4908
Phone (918) 961-1822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001004650 OK Part B Supplier - Clinic/Group Practice 0840721866 Receives reassigned benefits from 1 practitioner
Practice locations: Yukon, OK

National Provider Directory

National Provider Directory

Locations

10 W Main St
Ste 140
Yukon, OK 73099
Phone (405) 544-3026

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1700616679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 DUSTIN DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034908",
            "telephone_number": "918-961-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 DUSTIN DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034908",
            "telephone_number": "918-961-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-961-1822",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.