Individual provider Active NPI

Jeffery Lynn Mussman, DC

  • Chiropractor
  • Warr Acres, OK
National Provider Identifier
1750315685
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3460 Issued in OK
Practice address
4633 N Macarthur Blvd
Warr Acres, OK 73122-5009
Phone
(405) 848-3397
Fax
(405) 603-3772
NPI assigned
Jul 10, 2006
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3460 OK Primary

Addresses

Primary practice location

4633 N Macarthur Blvd
Warr Acres, OK 73122-5009

Mailing address

4633 N Macarthur Blvd
Warr Acres, OK 73122-5009
Phone (405) 848-3397

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3460OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlisle Vision Clinic PLLC PastSince Nov 17, 2011 Accepting new patients
Oklahoma Spine and Rehabilitation 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1750315685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 N MACARTHUR BLVD",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731225009",
            "telephone_number": "405-848-3397",
            "fax_number": "405-603-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 N MACARTHUR BLVD",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731225009",
            "telephone_number": "405-848-3397",
            "fax_number": "405-603-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSMAN",
        "first_name": "JEFFERY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warr Acres, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.