Individual provider Active NPI

Lance A Bailey, D.C.

  • Chiropractor
  • Bartlesville, OK
National Provider Identifier
1790845220
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3495 Issued in OK
Practice address
502 E 4TH St
Bartlesville, OK 74003-3905
Phone
(918) 695-8535
NPI assigned
Dec 12, 2006
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3495 OK Primary

Addresses

Primary practice location

502 E 4TH St
Bartlesville, OK 74003-3905

Mailing address

502 E 4TH St
Bartlesville, OK 74003-3905
Phone (918) 695-8535

Other practice location 1

4931 S Mingo Rd
Suite C
Tulsa, OK 74146-4900
Phone (918) 610-8535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230111000180 OK Practitioner - Chiropractic 8628448594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nujoint LLCGroup PAC ID 5799155172, 2 clinicians

Practice addresses (Care Compare)

502 E 4TH St
Bartlesville, OK 74003-3905
Phone (918) 928-3303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3495OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nujoint LLC CurrentSince Dec 1, 2022 Accepting new patients
Lance Bailey Enterprises Chiropractor Past Accepting new patients

Locations

123 S Seneca Ave
Bartlesville, OK 74003
Phone (918) 928-3303

502 E 4th St
Bartlesville, OK 74003
Phone (918) 695-8535

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1790845220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E 4TH ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033905",
            "telephone_number": "918-695-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E 4TH ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033905",
            "telephone_number": "918-695-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4931 S Mingo Rd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741464900",
            "country_code": "US",
            "telephone_number": "918-610-8535",
            "fax_number": "918-610-8536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LANCE",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3495",
            "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 8, 2025; 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.