Organization Active NPI

Broken Arrow Medical LLC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1841316320
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2219 Issued in OK
Legal business name
BROKEN ARROW MEDICAL LLC
Practice address
3023 S Harvard Ave
Suite B
Tulsa, OK 74114-6139
Phone
(918) 742-2094
Fax
(918) 742-2095
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Craig Alan Day, DC
Title
Owner
Phone
(918) 742-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2219 OK Primary

Addresses

Primary practice location

3023 S Harvard Ave
Suite B
Tulsa, OK 74114-6139

Mailing address

PO Box 1117
Skiatook, OK 74070-5117
Phone (918) 742-2094

National Provider Directory

National Provider Directory

Locations

3023 S Harvard Ave
Ste B
Tulsa, OK 74114
Phone (718) 742-2094

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1841316320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1117",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740705117",
            "telephone_number": "918-742-2094",
            "fax_number": "918-742-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 S HARVARD AVE",
            "address_2": "SUITE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146139",
            "telephone_number": "918-742-2094",
            "fax_number": "918-742-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN ARROW MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-742-2094",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 8, 2009; 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.