Active NPI
Justin Gregg Snyder, D.C.
- Chiropractor
- Tulsa, OK
National Provider Identifier
1730398785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3838
- Practice address
- 4146 S Harvard Ave Ste F-5
Tulsa, OK 74135-2610 - Phone
- (918) 749-7772
- NPI assigned
- May 22, 2007
- 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 | 3838 | OK | Primary |
Addresses
Primary practice location
4146 S Harvard Ave Ste F-5
Tulsa, OK 74135-2610
Mailing address
2418 S Louisville Ave
Tulsa, OK 74114-3424
Phone (918) 749-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4146 S Harvard Ave
Suite F5
Tulsa, OK 74135-2610
Phone (918) 749-7772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snyder Chiropractic P.L.L.C. | Chiropractor | Current | Accepting new patients |
Locations
4146 S Harvard Ave
Ste F5
Tulsa, OK 74135
Phone (918) 749-7772
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.
-
- Chiropractor
- Tulsa, OK
- NPI 1639336415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1730398785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 S LOUISVILLE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741143424",
"telephone_number": "918-749-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4146 S HARVARD AVE STE F-5",
"city": "TULSA",
"state": "OK",
"postal_code": "741352610",
"telephone_number": "918-749-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "JUSTIN",
"middle_name": "GREGG",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.