Organization Active NPI

Widhelm Chiropractic Clinic

  • Chiropractor
  • Ardmore, OK
National Provider Identifier
1770030520
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
767 Issued in NE
Legal business name
WIDHELM CHIROPRACTIC CLINIC
Practice address
1520 N Commerce St
Ste C
Ardmore, OK 73401-1861
Phone
(402) 902-9067
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Mrs. Kay Kay Widhelm
Title
Office Manager
Phone
(402) 902-9067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 767 NE Primary

Addresses

Primary practice location

1520 N Commerce St
Ste C
Ardmore, OK 73401-1861

Mailing address

1520 N Commerce St
Ste C
Ardmore, OK 73401-1861
Phone (402) 902-9067

National Provider Directory

National Provider Directory

Locations

1520 N Commerce St
Ste C
Ardmore, OK 73401
Phone (402) 902-9067

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1770030520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N COMMERCE ST",
            "address_2": "STE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011861",
            "telephone_number": "402-902-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N COMMERCE ST",
            "address_2": "STE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011861",
            "telephone_number": "402-902-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDHELM CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "WIDHELM",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-902-9067",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.