Organization Active NPI

Covenant Chiropractic Clinic PC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1821266842
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3700 Issued in OK
Legal business name
COVENANT CHIROPRACTIC CLINIC PC
Practice address
5153 E 51St St
Ste 103
Tulsa, OK 74135-7456
Phone
(918) 307-0077
Fax
(918) 508-7445
NPI assigned
Feb 12, 2008
Organization subpart
Yes
Parent organization
COVENANT CHIROPRACTOC CLINIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Rebekah S Nunn, BS DC
Title
Doctor Owner
Phone
(918) 307-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3700 OK Primary

Addresses

Primary practice location

5153 E 51St St
Ste 103
Tulsa, OK 74135-7456

Mailing address

5153 E 51St St
Ste 103
Tulsa, OK 74135-7456
Phone (918) 307-0077

Other identifiers 1

IdentifierTypeStateIssuer
300522165MedicaidOK

Other names 1

  • Dr Rebekah S Nunn Other name

National Provider Directory

National Provider Directory
Part of
Covenant Chiropractic Clinic PC

Locations

5153 E 51st St
Ste 103
Tulsa, OK 74135
Phone (918) 307-0077

8316 E 61st St
#101
Tulsa, OK 74133
Phone (918) 307-0077

7035 S Memorial Dr
Ste C
Tulsa, OK 74133
Phone (918) 307-0077

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1821266842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 E 51ST ST",
            "address_2": "STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357456",
            "telephone_number": "918-307-0077",
            "fax_number": "918-508-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 E 51ST ST",
            "address_2": "STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357456",
            "telephone_number": "918-307-0077",
            "fax_number": "918-508-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT CHIROPRACTOC CLINIC PC",
        "enumeration_date": "2008-02-12",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR  OWNER",
        "authorized_official_telephone_number": "918-307-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300522165",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Rebekah S Nunn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 5, 2010; 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.