Gran Miracle Chiropractic Inc PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2476 Issued in OK

Legal business name

GRAN MIRACLE CHIROPRACTIC INC PC

Practice address

3515 E 31St St
Suite C
Tulsa, OK 74135-1520

Phone

(918) 748-9876

Fax

(918) 748-9331

NPI assigned

Aug 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pack L Miracle, D.C.NPI 1568591741

Title

President

Phone

(918) 748-9876

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, and the practitioner matching its NPPES authorized official.

• Marcia Lynn Gran, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1629107701
  Medicare reassignment
• Pack Linton Miracle, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1568591741
  Authorized official Same address or phone

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1912191503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 E 31ST ST",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351520",
            "telephone_number": "918-748-9876",
            "fax_number": "918-748-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 E 31ST ST",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351520",
            "telephone_number": "918-748-9876",
            "fax_number": "918-748-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAN MIRACLE CHIROPRACTIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "PACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-748-9876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kay Graham
• Susan Graham
• Sharlotte Omaira Gramajo
• Graycie Paige Gramm, OTAS
• Tessa Grammer, M.S. CCC-SLP
• Marcia Lynn Gran, D.C.
• Grand Lake Mental Health Center Inc (GRAND Mental Health)
• Grand Lake Mental Health Center Inc (GRAND Mental Health)
• Grand Lake Mental Health Center Inc (GRAND Mental Health)
• Grand Lake Mental Health Center Inc (GRAND Mental Health)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.