Individual provider Active NPI

Mary Gale Berghaus, DC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1801964762
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OK3292 Issued in OK
Practice address
7023 E 100TH PL
Tulsa, OK 74133-6202
Phone
(918) 698-0833
Fax
(918) 298-1077
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 OK3292 OK Primary

Addresses

Primary practice location

7023 E 100TH PL
Tulsa, OK 74133-6202

Mailing address

7023 E 100TH PL
Tulsa, OK 74133-6202
Phone (918) 698-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OK3292OKMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1801964762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 E 100TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336202",
            "telephone_number": "918-698-0833",
            "fax_number": "918-298-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 E 100TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336202",
            "telephone_number": "918-698-0833",
            "fax_number": "918-298-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGHAUS",
        "first_name": "MARY",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "OK3292",
            "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 Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.