Derek Durrell Coffman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3472 Issued in OK

Practice address

3515 E 31St St Ste B
Tulsa, OK 74135-1520

Phone

(918) 749-4263

Fax

(866) 543-9680

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tulsa Family Chiropractic

  • Chiropractor
  • Tulsa, OK
  • NPI 1972638815
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1760423735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 E 31ST ST STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351520",
            "telephone_number": "918-749-4263",
            "fax_number": "866-543-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 E 31ST ST STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351520",
            "telephone_number": "918-749-4263",
            "fax_number": "866-543-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "DEREK",
        "middle_name": "DURRELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "3472",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coffman Wellness LLC
• Aaron Coffman
• Aura Coffman
• Beth Ann Coffman, MS OTRIL
• Darci Coffman, D.O.
• Joseph Coffman, D.O.
• Joy Lynn Coffman
• Lenna Coffman
• Cogent Medical Lab LLC
• Darin Coggins, D.PH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.

Verify at the official NPI Registry.