Active NPI
Covenant Chiropractic Clinic PC
- Chiropractor
- Tulsa, OK
National Provider Identifier
1821266842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3700
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300522165 | Medicaid | OK |
Other names 1
- Dr Rebekah S Nunn
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.