Christopher N Waddell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3588 Issued in TX

Practice address

2621 N Broadway Ave
Shawnee, OK 74804-2913

Phone

(405) 878-1340

Fax

(405) 878-1341

NPI assigned

Nov 2, 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, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Waddell Family ChiropracticGroup PAC ID 3577735455, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Waddell Family Chiropractic

  • Chiropractor
  • Shawnee, OK
  • NPI 1053536904
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1912085143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 N BROADWAY AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042913",
            "telephone_number": "405-878-1340",
            "fax_number": "405-878-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 N BROADWAY AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042913",
            "telephone_number": "405-878-1340",
            "fax_number": "405-878-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "3588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VMM, Inc.
• Rachael Ann Von Dollen, M.S., BCBA
• Anne K Vorndran
• W Jack Mann DDS Inc
• Waddell Family Chiropractic
• Hannah Christine Waddell, MSCCC SLP
• Sidney Dawn Waddell, DC
• Dustin Wade
• Rebekah Wahkinney, PH.D.
• Ronald Wahkinney

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.