Active NPI
Cody Elledge D.C. PLLC
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1821438854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3835
- Legal business name
- CODY ELLEDGE D.C. PLLC
- Practice address
- 5715 N Western Ave Ste B
Oklahoma City, OK 73118-1239 - Phone
- (405) 703-3033
- NPI assigned
- Jul 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cody Elledge, D.C.
- Title
- Sole Member
- Phone
- (405) 703-3033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3835 | OK | Primary |
| Acupuncturist | 171100000X |
Addresses
Primary practice location
5715 N Western Ave Ste B
Oklahoma City, OK 73118-1239
Mailing address
5715 N Western Ave Ste B
Oklahoma City, OK 73118-1239
Phone (405) 703-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5715 N Western Ave
Ste B
Oklahoma City, OK 73118
Phone (405) 858-2225
5715 N Western Ave
Oklahoma City, OK 73118
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Oklahoma City, OK
- NPI 1639372956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372982400000",
"number": "1821438854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 N WESTERN AVE STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731181239",
"telephone_number": "405-703-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 N WESTERN AVE STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731181239",
"telephone_number": "405-703-3033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CODY ELLEDGE D.C. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-05",
"last_updated": "2013-07-05",
"status": "A",
"authorized_official_last_name": "ELLEDGE",
"authorized_official_first_name": "CODY",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "405-703-3033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "3835",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.