Active NPI
Wade E. Bair, D.C.
- Chiropractor
- Stillwater, OK
National Provider Identifier
1710136312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3896
- Practice address
- 1405 W. 12TH Ave.
Stillwater, OK 74074 - Phone
- (405) 533-1511
- Fax
- (405) 533-1161
- NPI assigned
- Sep 18, 2008
- Last updated
- Oct 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3896 | OK | Primary |
Addresses
Primary practice location
1405 W. 12TH Ave.
Stillwater, OK 74074
Mailing address
1405 W. 12TH Ave.
Stillwater, OK 74074
Phone (405) 533-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090421000685 | OK | Practitioner - Chiropractic | 6901953322 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1405 W 12TH Ave
Stillwater, OK 74074-5425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic & Wellness, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1405 W 12th Ave
Stillwater, OK 74074
Phone (405) 533-1511
Organizations & group practices 2
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.
-
- Chiropractor
- Stillwater, OK
- NPI 1841618246
-
- Chiropractor
- Stillwater, OK
- NPI 1184874877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1710136312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 W. 12TH AVE.",
"city": "STILLWATER",
"state": "OK",
"postal_code": "74074",
"telephone_number": "405-533-1511",
"fax_number": "405-533-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 W. 12TH AVE.",
"city": "STILLWATER",
"state": "OK",
"postal_code": "74074",
"telephone_number": "405-533-1511",
"fax_number": "405-533-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIR",
"first_name": "WADE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-18",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.