Individual provider Active NPI

Katherine Locke, DC

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1811585037
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4397 Issued in OK
Practice address
2537 S Kelly Ave Ste a
Edmond, OK 73013-2905
Phone
(405) 757-2079
NPI assigned
Jan 4, 2021
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4397 OK Primary

Addresses

Primary practice location

2537 S Kelly Ave Ste a
Edmond, OK 73013-2905

Mailing address

2537 S Kelly Ave Ste a
Edmond, OK 73013-2905
Phone (405) 757-2079

Other names 1

  • Katherine Davis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126001196 OK Practitioner - Chiropractic 6204240674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7319 Northshore Dr
Tuttle, OK 73089-8994
Phone (405) 237-5812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4397OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Chiropractic LLC CurrentSince Jul 27, 2023 Accepting new patients
Prince Chiropractic Wellness Center, PLLC Chiropractor CurrentSince Jan 5, 2021 Accepting new patients

Locations

2537 S Kelly Ave
Ste A
Edmond, OK 73013
Phone (405) 323-3130

13501 N Eastern Ave
Oklahoma City, OK 73131
Phone (405) 757-2079

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1811585037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 S KELLY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132905",
            "telephone_number": "405-757-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 S KELLY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132905",
            "telephone_number": "405-757-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "KATHERINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DAVIS",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.