Tenkiller Family Chiropracitc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3978 Issued in OK

Legal business name

TENKILLER FAMILY CHIROPRACITC

Practice address

512 S. Thornton Street
Vian, OK 74962

Phone

(918) 773-3025

NPI assigned

May 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Pack Jr., D.C.NPI 1740507714

Title

Doctor of Chiropractic

Phone

(918) 773-3025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Pack Jr., D.C.

  • Chiropractor
  • Vian, OK
  • NPI 1740507714
  Medicare reassignment Care Compare group NPD Authorized official
• Maggie A. Pack, D.C.

  • Chiropractor
  • Park Hill, OK
  • NPI 1003133075
  Medicare reassignment Care Compare group NPD
• Elaine Laverne Clinton, D.C.

  • Chiropractor
  • Park Hill, OK
  • NPI 1619208436
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1770802456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S. THORNTON STREET",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "74962",
            "telephone_number": "918-773-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S. THORNTON STREET",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "74962",
            "telephone_number": "918-773-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENKILLER FAMILY CHIROPRACITC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "918-773-3025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowdy J Simon, DDS
• Amber L. Spyres, BSN, RN
• Leann Stewart
• Cary Patrick Sullivan, D.O.
• Heather Summerlin
• Tenkiller Integrative Family Health
• Triton Health Elder Care LLC
• Triton Health PLLC
• Triton Health PLLC
• Chelsie Andrea Vanek

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.