Active NPI
Cassidy DO, DC
- Chiropractor
- Moore, OK
National Provider Identifier
1720640303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4326
- Practice address
- 804 NE 23Rd St
Moore, OK 73160-8976 - Phone
- (405) 794-5000
- NPI assigned
- Jul 3, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 4326 | OK | Primary |
Addresses
Primary practice location
804 NE 23Rd St
Moore, OK 73160-8976
Mailing address
12205 S Western Ave Apt 834
Oklahoma City, OK 73170-5961
Phone (405) 826-7724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4326 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cac of Yukon | Chiropractor | Past | Accepting new patients |
| Chiropractic Arts Center of Moore | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Moore, OK
- NPI 1215001847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1720640303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12205 S WESTERN AVE APT 834",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731705961",
"telephone_number": "405-826-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 NE 23RD ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731608976",
"telephone_number": "405-794-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "CASSIDY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-03",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.