Individual provider Active NPI

Lindsey Rovenstine, DC

  • Chiropractor
  • Bartlesville, OK
National Provider Identifier
1770906190
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4139 Issued in OK
Practice address
608 SE Delaware Ave
Suite a
Bartlesville, OK 74003-3615
Phone
(918) 214-8637
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4139 OK Primary

Addresses

Primary practice location

608 SE Delaware Ave
Suite a
Bartlesville, OK 74003-3615

Mailing address

608 SE Delaware Ave
Suite a
Bartlesville, OK 74003-3615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303001857 OK Practitioner - Chiropractic 1153647789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4139OKMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1770906190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SE DELAWARE AVE",
            "address_2": "SUITE A",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SE DELAWARE AVE",
            "address_2": "SUITE A",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033615",
            "telephone_number": "918-214-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVENSTINE",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.