Individual provider Active NPI

Jonas R. Sprowls, D. C.

  • Chiropractor
  • Pauls Valley, OK
National Provider Identifier
1780681577
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3710 Issued in OK
Practice address
104 Indian Meridian Rd
Pauls Valley, OK 73075
Phone
(405) 238-4888
Fax
(405) 238-2103
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3710 OK Primary

Addresses

Primary practice location

104 Indian Meridian Rd
Pauls Valley, OK 73075

Mailing address

PO Box 177
104 N Indian Meridian Rd
Pauls Valley, OK 73075-0177
Phone (405) 238-4888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804000999 OK Practitioner - Chiropractic 6204807050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 Indian Meridian Rd
Pauls Valley, OK 73075

104 N Indian Meridian
Pauls Valley, OK 73075
Phone (405) 238-4888

PO Box
Suite 177
Pauls Valley, OK 73075-0177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3710OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sprowls Chiropractic Corporation Chiropractor CurrentSince Dec 21, 2009 Accepting new patients
Alternative Care Clinic, Inc. Chiropractor Past Accepting new patients

Locations

104 N Indian Meridian Rd
Pauls Valley, OK 73075
Phone (405) 238-4888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1780681577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "address_2": "104 N INDIAN MERIDIAN RD",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750177",
            "telephone_number": "405-238-4888",
            "fax_number": "405-238-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INDIAN MERIDIAN RD",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "73075",
            "telephone_number": "405-238-4888",
            "fax_number": "405-238-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROWLS",
        "first_name": "JONAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.