Derek Makescry LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4066 Issued in OK

Legal business name

DEREK MAKESCRY LLC

Doing business as

Clinton Chiropractic Center

Practice address

119 N 9TH St
Clinton, OK 73601-3309

Phone

(580) 323-4250

Fax

(580) 323-4251

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Derek Makescry, D.C.

Title

Sole Member

Phone

(580) 323-4250

Specialties & licenses 1

Addresses

Other names 1

• Clinton Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1831465194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N 9TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013309",
            "telephone_number": "580-323-4250",
            "fax_number": "580-323-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N 9TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013309",
            "telephone_number": "580-323-4250",
            "fax_number": "580-323-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK MAKESCRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "MAKESCRY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "580-323-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "4066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Edith Danforth, R.N.
• David L. Boone, DDS, Inc.
• Jennifer Jo Davis, BS
• Marshall Patrick Day, OD
• Randi Loraine Day, O.D.
• Devin P. Schoonmaker DDS P.C.
• Diagnostic Laboratory of Oklahoma LLC
• Tara N Dickson, BS
• Lindsay Dlugonski
• Loretta June Dougherty

• Clinic/Center in Clinton, OK
• Providers in Clinton, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.