Individual provider Active NPI

Michelle Jarvis Walton, D.C.

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1811961105
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3662 Issued in OK
Practice address
4727 Gaillardia Pkwy Ste 140
Oklahoma City, OK 73142-1927
Phone
(405) 936-4688
NPI assigned
Feb 14, 2006
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8428 AZ
Chiropractor 111N00000X CHR.0007437 CO
Chiropractor 111N00000X 9617 TX
Chiropractor 111N00000X 3662 OK Primary

Addresses

Primary practice location

4727 Gaillardia Pkwy Ste 140
Oklahoma City, OK 73142-1927

Mailing address

3320 Troup Hwy
Suite 240
Tyler, TX 75701-8395
Phone (903) 526-9808

Other names 1

  • Dr. Michelle Lynn Jarvis Former name

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

State licenses

LicenseStateTypeSpecialty
CHR.0007437COMDChiropractor
8428AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1811961105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 TROUP HWY",
            "address_2": "SUITE 240",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018395",
            "telephone_number": "903-526-9808",
            "fax_number": "903-526-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 GAILLARDIA PKWY STE 140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421927",
            "telephone_number": "405-936-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "MICHELLE",
        "middle_name": "JARVIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8428",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007437",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9617",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JARVIS",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.