Sooner Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3391 Issued in OK

Legal business name

SOONER CHIROPRACTIC, PLLC

Practice address

788 N Santa Fe Ave
Suite 110
Edmond, OK 73003-4300

Phone

(405) 285-0300

Fax

(405) 285-0455

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Kristopher Wilson, D.C.

Title

Owner/Ceo

Phone

(405) 285-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1871907634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13612 BELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425915",
            "telephone_number": "405-285-0300",
            "fax_number": "405-285-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 N SANTA FE AVE",
            "address_2": "SUITE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034300",
            "telephone_number": "405-285-0300",
            "fax_number": "405-285-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOONER CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KRISTOPHER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "405-285-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Edmond, OK
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• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.