Organization Active NPI

Tri-City Chiropractic Clinic,P.C.

  • Chiropractor
  • Newcastle, OK
National Provider Identifier
1770772162
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2410 Issued in OK
Legal business name
TRI-CITY CHIROPRACTIC CLINIC,P.C.
Practice address
3607 NW 32ND St
Newcastle, OK 73065-6559
Phone
(405) 392-5504
Fax
(405) 392-5501
NPI assigned
Oct 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Stephen W McCan, D.C.NPI 1083620157
Title
Chiropractor
Phone
(405) 392-5504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2410 OK Primary

Addresses

Primary practice location

3607 NW 32ND St
Newcastle, OK 73065-6559

Mailing address

3607 NW 32ND St
Newcastle, OK 73065-6559
Phone (405) 392-5504

National Provider Directory

National Provider Directory

Locations

3607 NW 32nd St
Newcastle, OK 73065
Phone (405) 392-5504

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1770772162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 NW 32ND ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656559",
            "telephone_number": "405-392-5504",
            "fax_number": "405-392-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 NW 32ND ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656559",
            "telephone_number": "405-392-5504",
            "fax_number": "405-392-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY CHIROPRACTIC CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MCCAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "405-392-5504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.