Individual provider Active NPI

Joshua M Wedman, D.C.

  • Chiropractor
  • Jenks, OK
National Provider Identifier
1811047046
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3703 Issued in OK
Practice address
715 W Main St Ste P
Jenks, OK 74037-3553
Phone
(918) 299-8338
Fax
(918) 299-8336
NPI assigned
Jan 11, 2007
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3703 OK Primary

Addresses

Primary practice location

715 W Main St Ste P
Jenks, OK 74037-3553

Mailing address

715 W Main St Ste P
Jenks, OK 74037-3553
Phone (918) 299-8338

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)
Enrolled

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, 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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1811047046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST STE P",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373553",
            "telephone_number": "918-299-8338",
            "fax_number": "918-299-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST STE P",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373553",
            "telephone_number": "918-299-8338",
            "fax_number": "918-299-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDMAN",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.