Organization Active NPI

Eufaula Chiropractic

  • Chiropractor
  • Eufaula, OK
National Provider Identifier
1730637166
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4036 Issued in OK
Legal business name
EUFAULA CHIROPRACTIC
Practice address
223 N Main St
Eufaula, OK 74432-1632
Phone
(918) 851-1818
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Dr. Barrett Newton, D.C.NPI 1538457536
Title
Chiropractor
Phone
(918) 851-1818

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 4036 OK Primary

Addresses

Primary practice location

223 N Main St
Eufaula, OK 74432-1632

Mailing address

223 N Main St
Eufaula, OK 74432-1632
Phone (918) 851-1818

Other identifiers 1

IdentifierTypeStateIssuer
4036OtherOKLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161207001032 OK Part B Supplier - Clinic/Group Practice 1355621459 Receives reassigned benefits from 1 practitioner
Practice locations: Eufaula, OK

National Provider Directory

National Provider Directory

Locations

223 N Main St
Eufaula, OK 74432
Phone (918) 533-9000

Practitioners & affiliated clinicians

Practitioners 2

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": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1730637166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744321632",
            "telephone_number": "918-851-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744321632",
            "telephone_number": "918-851-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUFAULA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-851-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4036",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.