Organization Active NPI

Valcasara Chiropractic LLC

  • Chiropractor
  • Ardmore, OK
National Provider Identifier
1871535336
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3410 Issued in OK
Legal business name
VALCASARA CHIROPRACTIC LLC
Practice address
800 N. Commerce St
Ardmore, OK 73401-3917
Phone
(580) 226-3388
Fax
(580) 226-7296
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Dr. Jodie Michelle Morris-Valcasara, D.C.NPI 1558314617
Title
Owner/Physician
Phone
(580) 226-3388

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3410 OK Primary

Addresses

Primary practice location

800 N. Commerce St
Ardmore, OK 73401-3917

Mailing address

800 N. Commerce St
Ardmore, OK 73401-3917
Phone (580) 226-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090323000058 OK Part B Supplier - Clinic/Group Practice 8729090774 Receives reassigned benefits from 1 practitioner
Practice locations: Ardmore, OK

National Provider Directory

National Provider Directory

Locations

800 N Commerce St
Ardmore, OK 73401
Phone (580) 226-3388

Practitioners & affiliated clinicians

Practitioners 1

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1871535336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N. COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013917",
            "telephone_number": "580-226-3388",
            "fax_number": "580-226-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N. COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013917",
            "telephone_number": "580-226-3388",
            "fax_number": "580-226-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALCASARA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "MORRIS-VALCASARA",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "580-226-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.

Verify at the official NPI Registry.