Organization Active NPI

El Reno Chiropractic Inc

  • Chiropractor
  • El Reno, OK
National Provider Identifier
1891903068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3344 Issued in OK
Legal business name
EL RENO CHIROPRACTIC INC
Practice address
211 E Russell St
El Reno, OK 73036-2740
Phone
(405) 262-4878
NPI assigned
May 19, 2007
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. Geoffrey E Pirtle, D.C.NPI 1720168404
Title
Owner Chiropractor
Phone
(405) 262-4878

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 3344 OK Primary

Addresses

Primary practice location

211 E Russell St
El Reno, OK 73036-2740

Mailing address

211 E Russell St
El Reno, OK 73036-2740
Phone (405) 262-4878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000271 OK Part B Supplier - Clinic/Group Practice 6507925005 Receives reassigned benefits from 1 practitioner
Practice locations: El Reno, OK

National Provider Directory

National Provider Directory

Locations

2005 W Foreman St
El Reno, OK 73036
Phone (405) 262-4878

211 E Russell St
El Reno, OK 73036
Phone (405) 262-4878

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": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891903068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E RUSSELL ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362740",
            "telephone_number": "405-262-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E RUSSELL ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362740",
            "telephone_number": "405-262-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RENO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIRTLE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "405-262-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, 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.
  • 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.