Active NPI
Phillips Chiropractic ,PLLC
- Neurology Chiropractor
- Lawton, OK
National Provider Identifier
1902079692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 1907
- Legal business name
- PHILLIPS CHIROPRACTIC ,PLLC
- Practice address
- 4010 NW Cache Rd
Lawton, OK 73505-3634 - Phone
- (580) 357-8688
- Fax
- (580) 357-7483
- NPI assigned
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frederick B. Phillips Jr., D.C.
- Title
- Owner/Physician
- Phone
- (580) 357-8688
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 1907 | OK | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 1907 | OK | |
| Nutrition Education Nutritionist | 133NN1002X | 1907 | OK |
Addresses
Primary practice location
4010 NW Cache Rd
Lawton, OK 73505-3634
Mailing address
4010 NW Cache Rd
Lawton, OK 73505-3634
Phone (580) 357-8688
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335398400000",
"number": "1902079692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 NW CACHE RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735053634",
"telephone_number": "580-357-8688",
"fax_number": "580-357-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 NW CACHE RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735053634",
"telephone_number": "580-357-8688",
"fax_number": "580-357-7483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS CHIROPRACTIC ,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2012-04-26",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "580-357-8688",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": "OK",
"license": "1907",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "OK",
"license": "1907",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "OK",
"license": "1907",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.