918 Chiropractic Owasso LLC
Organization Active NPI Chiropractor · Owasso, OK
NPI 1891492476 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1891492476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 918 CHIROPRACTIC OWASSO LLC
- Practice address
- 12150 E 96TH St N Ste 100B
Owasso, OK 74055-5339 - Phone
- (918) 212-8688
- Fax
- (866) 352-5122
- NPI assigned
- Feb 14, 2023
- Organization subpart
- No
Authorized official
- Name
- John Matt Griswold, DC
- Title
- Owner
- Phone
- (918) 212-8688
Practitioners 3
-
John Matt Griswold, D.C.
-
Travis Edward Dust, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260123000787 | OK | Part B Supplier - Clinic/Group Practice | 0840777579 |
Receives reassigned benefits from 1 practitioner Practice locations: Owasso, OK |
National Provider Directory
Locations
12150 E 96th St N
Ste 100B
Owasso, OK 74055
Phone (918) 212-8688
12150 E 96th St N
Ste 100
Owasso, OK 74055
Phone (870) 213-7366
12150 E 96th St N
Ste 200
Owasso, OK 74055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
12150 E 96TH St N Ste 100B
Owasso, OK 74055-5339
Mailing address
12150 E 96TH St N Ste 100B
Owasso, OK 74055-5339
Phone (918) 212-8688
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.