Individual provider Active NPI

Jason William Shenloogian, D.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1780834259
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3901 Issued in OK
Practice address
4146 S Harvard
Suite F-2
Tulsa, OK 74135-2610
Phone
(918) 933-5445
Fax
(918) 933-5446
NPI assigned
Sep 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3901 OK Primary

Addresses

Primary practice location

4146 S Harvard
Suite F-2
Tulsa, OK 74135-2610

Mailing address

4146 S Harvard
Suite F-2
Tulsa, OK 74135-2610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091015000110 OK Practitioner - Chiropractic 7911043336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4146 S Harvard Ave
Suite F2
Tulsa, OK 74135-2610
Phone (918) 933-5445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3901OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shenloogian Chiropractic & Acupuncture Clinic, LLC Chiropractor CurrentSince Aug 27, 2009 Accepting new patients

Locations

4146 S Harvard Ave
Ste F2
Tulsa, OK 74135
Phone (918) 933-5445

Organizations & group practices 1

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1780834259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 S HARVARD",
            "address_2": "SUITE F-2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 S HARVARD",
            "address_2": "SUITE F-2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352610",
            "telephone_number": "918-933-5445",
            "fax_number": "918-933-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENLOOGIAN",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.