Derryberry Health PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3816 Issued in OK

Legal business name

DERRYBERRY HEALTH PLLC

Doing business as

Derryberry Chiropractic

Practice address

1200 12TH Ave SE
136
Norman, OK 73071-2497

Phone

(405) 701-5777

Fax

(405) 701-5778

NPI assigned

Jun 26, 2008

Last updated

Apr 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Broc Slater Derryberry, DCNPI 1750506838

Title

Owner

Phone

(405) 701-5777

Specialties & licenses 1

Addresses

Other names 1

• Derryberry Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Broc S Derryberry, DC

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1750506838
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1790947273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE SE",
            "address_2": "#136",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730712497",
            "telephone_number": "405-701-5777",
            "fax_number": "405-701-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE SE",
            "address_2": "136",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730712497",
            "telephone_number": "405-701-5777",
            "fax_number": "405-701-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRYBERRY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "DERRYBERRY",
        "authorized_official_first_name": "BROC",
        "authorized_official_middle_name": "SLATER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-701-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derryberry Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Department of Mental Health and Substance Abuse
• Sabrina Dequasie, LPC
• Derek R Mask DDS PLLC
• Derivative Psychiatry, PLLC
• Dermatology and Cosmetic Center of Oklahoma, P.L.L.C.
• Ashlan Dewert
• Diagnostic Laboratory of Oklahoma LLC
• Dianne Chambers MD PC
• Glen Diaz, ARNP
• Sarah Elizabeth Diaz, RBT-23-301045

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.