Active NPI
Thongkham Vannarath, D.C.
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1841475787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3485
- Practice address
- 2404 NW 23Rd St
Oklahoma City, OK 73107-2408 - Phone
- (405) 521-0001
- NPI assigned
- Jan 9, 2008
- Last updated
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3485 | OK | Primary |
Addresses
Primary practice location
2404 NW 23Rd St
Oklahoma City, OK 73107-2408
Mailing address
2404 NW 23Rd St
Oklahoma City, OK 73107-2408
Phone (405) 521-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3485 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1841475787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 NW 23RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731072408",
"telephone_number": "405-521-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 NW 23RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731072408",
"telephone_number": "405-521-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNARATH",
"first_name": "THONGKHAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3485",
"primary": true
}
],
"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 Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.