Organization Active NPI

Memorial Road Chiropractic

  • Rehabilitation Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1871790485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3320 Issued in OK
Legal business name
MEMORIAL ROAD CHIROPRACTIC
Practice address
1001 W Memorial Rd
Ste 12
Oklahoma City, OK 73114-2000
Phone
(405) 752-5900
Fax
(405) 752-5906
NPI assigned
Jun 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Warren Robert Blishen, DCNPI 1508063116
Title
Chiropractic
Phone
(405) 752-5900

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
Rehabilitation Chiropractor 111NR0400X 3320 OK Primary

Addresses

Primary practice location

1001 W Memorial Rd
Ste 12
Oklahoma City, OK 73114-2000

Mailing address

1001 W Memorial Rd
Ste 12
Oklahoma City, OK 73114-2000
Phone (405) 752-5900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871790485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MEMORIAL RD",
            "address_2": "STE 12",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142000",
            "telephone_number": "405-752-5900",
            "fax_number": "405-752-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MEMORIAL RD",
            "address_2": "STE 12",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142000",
            "telephone_number": "405-752-5900",
            "fax_number": "405-752-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ROAD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLISHEN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "405-752-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "3320",
            "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 Aug 22, 2020; 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.