Individual provider Active NPI

Conner Ruminer

  • Chiropractor
  • Norman, OK
National Provider Identifier
1720762008
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4568 Issued in OK
Practice address
4331 Adams Rd
Suite 101
Norman, OK 73069
Phone
(580) 579-4667
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4568 OK Primary

Addresses

Primary practice location

4331 Adams Rd
Suite 101
Norman, OK 73069

Mailing address

2234 Bryan Rd
Durant, OK 74701-7320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111002094 OK Practitioner - Chiropractic 8426409632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4331 Adams Rd
Suite 101
Norman, OK 73069-1007
Phone (405) 928-9791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4568OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
R Chiropractic Recovery and Wellness LLC Chiropractor CurrentSince Dec 1, 2023 Accepting new patients

Locations

4331 Adams Rd
#101
Norman, OK 73069
Phone (405) 928-9791

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1720762008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 BRYAN RD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 ADAMS RD",
            "address_2": "SUITE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73069",
            "telephone_number": "580-579-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMINER",
        "first_name": "CONNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.