Individual provider Active NPI

Clayton David Lowe, D.C.

  • Sports Physician Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1902888456
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
A06193 Issued in IA
Practice address
12304 N May Ave
Oklahoma City, OK 73120-1944
Phone
(405) 669-3415
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4623 OK
Sports Physician Chiropractor 111NS0005X A06193 IA Primary

Addresses

Primary practice location

12304 N May Ave
Oklahoma City, OK 73120-1944

Mailing address

12304 N. May Ave
Winterset, OK 50273
Phone (405) 669-3415

Other identifiers 2

IdentifierTypeStateIssuer
1229393MedicaidIA
48282OtherBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050426000439 IA Practitioner - Chiropractic 5890734289
I20240905001547 OK Practitioner - Chiropractic 5890734289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12304 N May Ave
Oklahoma City, OK 73120-1944
Phone (405) 669-3415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4623OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Lewis Peck LLC Chiropractor CurrentSince Jul 25, 2024 Accepting new patients
Meyer Chiropractic Clinic Chiropractor CurrentSince Oct 15, 2023 Accepting new patients

Locations

59 E Green St
Winterset, IA 50273
Phone (515) 462-5807

13100 N Pennsylvania Ave
Ste C
Oklahoma City, OK 73120
Phone (405) 760-9914

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1902888456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 N. MAY AVE",
            "city": "WINTERSET",
            "state": "OK",
            "postal_code": "50273",
            "telephone_number": "405-669-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201944",
            "telephone_number": "405-669-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "CLAYTON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4623",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "A06193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1229393",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "48282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.