Christopher Todd Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3191 Issued in OK

Practice address

508 W Vandament Ave Ste 201
Yukon, OK 73099-4666

Phone

(405) 354-2084

Fax

(405) 265-2582

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Wellness Chiropractic PCGroup PAC ID 4385715010, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Wellness Chiropractic PC

  • Chiropractor
  • Yukon, OK
  • NPI 1154503639
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1902981376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 COMMONS CIR",
            "address_2": "STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999528",
            "telephone_number": "405-577-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W VANDAMENT AVE STE 201",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994666",
            "telephone_number": "405-354-2084",
            "fax_number": "405-265-2582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Vandament Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730994654",
            "country_code": "US",
            "telephone_number": "405-354-2084",
            "fax_number": "405-265-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHRISTOPHER",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Wesley Palmer, PT
• Tiffany Palmer, MBS, LPC
• Noemi Palomera
• Maximiliano Pando
• Carol Lee Papin, LPC-LADC-CCPC-
• George Edward Parker, LSW
• J Parker
• Jeana Kim Parker, M.S., CCC-SLP
• Robert Ryan Parker
• Te'Onna Kay Parker, MMP, LMT

• Chiropractor in Yukon, OK
• Providers in Yukon, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.