Organization Active NPI

Kenica Thomason D.C., L.L.C.

  • Chiropractor
  • Yukon, OK
National Provider Identifier
1760702260
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3931 Issued in OK
Legal business name
KENICA THOMASON D.C., L.L.C.
Practice address
1809 Commons Cir
A
Yukon, OK 73099-7314
Phone
(405) 577-6268
Fax
(405) 577-6371
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Dr. Kenica Amanda Thomason, D.C.
Title
Chiropractor
Phone
(405) 577-6268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3931 OK Primary

Addresses

Primary practice location

1809 Commons Cir
A
Yukon, OK 73099-7314

Mailing address

1809 Commons Cir
A
Yukon, OK 73099-7314
Phone (405) 577-6268

National Provider Directory

National Provider Directory

Locations

1809 Commons Cir
Ste A
Yukon, OK 73099
Phone (405) 577-6268

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1760702260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 COMMONS CIR",
            "address_2": "A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997314",
            "telephone_number": "405-577-6268",
            "fax_number": "405-577-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 COMMONS CIR",
            "address_2": "A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997314",
            "telephone_number": "405-577-6268",
            "fax_number": "405-577-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENICA THOMASON D.C., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "KENICA",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "405-577-6268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.