Active NPI
Michelle Jarvis Walton, D.C.
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1811961105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3662
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0007437 | CO | MD | Chiropractor |
| 8428 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Scottsdale, AZ
- NPI 1174778484
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.