Revelations Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3698 Issued in OK

Legal business name

REVELATIONS CHIROPRACTIC, INC.

Practice address

1212 S Air Depot Blvd
Suite 31
Midwest City, OK 73110-4870

Phone

(405) 736-6850

Fax

(405) 736-6823

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chris M Monden, D.C.NPI 1235216813

Title

Owner

Phone

(405) 736-6850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris M. Monden, D.C., B.S.

  • Chiropractor
  • Midwest City, OK
  • NPI 1235216813
  Medicare reassignment NPD Authorized official
• Jeremy Don Keifer, DC, BS

  • Chiropractor
  • Tulsa, OK
  • NPI 1043580608
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1902003916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S AIR DEPOT BLVD",
            "address_2": "SUITE 31",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104870",
            "telephone_number": "405-736-6850",
            "fax_number": "405-736-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S AIR DEPOT BLVD",
            "address_2": "SUITE 31",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104870",
            "telephone_number": "405-736-6850",
            "fax_number": "405-736-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATIONS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "MONDEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-736-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Physicians of Midwest City LLC
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• Renee Roy, MD PC
• Resilient Mindfulness Clinic
• Responsive Individual & Family Services
• Haley Reynolds
• Madiline Reynolds
• Carlos A Rhodes
• Chance Rice, PTA
• Richard Hollander D.D.S.

• Chiropractor in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.