Genesis Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GENESIS FAMILY CHIROPRACTIC, LLC

Practice address

117 N Garfield Ave
Sand Springs, OK 74063-7214

Phone

(918) 802-2066

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Eldridge, DCNPI 1922657154

Title

Office Manager

Phone

(918) 802-2066

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.

• Daniel Ryan Eldridge, DC

  • Chiropractor
  • Sand Springs, OK
  • NPI 1922657154
  Medicare reassignment NPD Authorized official
• Mikayla Storm Eldridge, DC

  • Chiropractor
  • Sand Springs, OK
  • NPI 1881242683
  NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1912751967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N GARFIELD AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N GARFIELD AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637214",
            "telephone_number": "918-802-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-802-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Warren Fooshee, DDS
• Joshua Duane Fort
• Frank L. Frederick, DO
• Jubilee Frizzell
• Craig Gahring, DPH
• Gilstrap Clinics PC
• Russell Dale Gilstrap, D.C.
• Alexie Zuri Gonzalez, LPC CANDIDATE
• Good Work Counseling LLC
• Joanna Kay Goodin

• Chiropractor in Sand Springs, OK
• Providers in Sand Springs, 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, 2024; 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.