Chung & Waggoner Health Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3170 Issued in OK

Legal business name

CHUNG & WAGGONER HEALTH CENTER, INC

Practice address

7000 NW Expressway St
Suite H
Oklahoma City, OK 73132-3514

Phone

(405) 773-1113

Fax

(405) 773-1114

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David B. Waggoner, D.C.NPI 1013015064

Title

Ceo

Phone

(405) 773-1113

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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.

• David Bo Waggoner, D.C.

  • Sports Physician Chiropractor
  • Oklahoma City, OK
  • NPI 1013015064
  Medicare reassignment NPD Authorized official
• Susan L. Chung, D.C.

  • Orthopedic Chiropractor
  • Oklahoma City, OK
  • NPI 1639242647
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1750406724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NW EXPRESSWAY ST",
            "address_2": "SUITE H",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323514",
            "telephone_number": "405-773-1113",
            "fax_number": "405-773-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 NW EXPRESSWAY ST",
            "address_2": "SUITE H",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323514",
            "telephone_number": "405-773-1113",
            "fax_number": "405-773-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG & WAGGONER HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-773-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. WAGGONER NPI",
            "identifier": "1013015064",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CHUNG NPI",
            "identifier": "1639242647",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Chukwu
• Andrew Chukwuma, MD
• Thersa Akunna Chukwuma
• Warren Chun, MD
• Lohithasya Chowdary Chunduru, MD
• Susan L. Chung, D.C.
• Chelsea Church, PHARMD
• Cheryl L Church, D.D.S.
• Lila Infante Church, BSW
• Carissa Churchill, PTA

• Chiropractor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.