Organization Active NPI

Culver Clinic of Chiropractic, P.C.

  • Chiropractor
  • Marlow, OK
National Provider Identifier
1750306445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1367 Issued in OK
Legal business name
CULVER CLINIC OF CHIROPRACTIC, P.C.
Practice address
412 N Broadway St
Marlow, OK 73055-1838
Phone
(580) 658-6604
Fax
(580) 652-5111
NPI assigned
Jul 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harold Richard Culver, D.C.
Title
President
Phone
(580) 658-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1367 OK Primary

Addresses

Primary practice location

412 N Broadway St
Marlow, OK 73055-1838

Mailing address

412 N Broadway St
P.O. Box 206
Marlow, OK 73055-1838
Phone (580) 658-6604

Other identifiers 1

IdentifierTypeStateIssuer
V4463614602MedicaidOK

National Provider Directory

National Provider Directory

Locations

412 N Broadway St
Marlow, OK 73055
Phone (580) 658-6604

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750306445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N BROADWAY ST",
            "address_2": "P.O. BOX 206",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730551838",
            "telephone_number": "580-658-6604",
            "fax_number": "580-652-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N BROADWAY ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730551838",
            "telephone_number": "580-658-6604",
            "fax_number": "580-652-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULVER CLINIC OF CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULVER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-658-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "V4463614602",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.