Organization Active NPI

Chiropractic Physicians Clinic

Doing business as Oklahoma Health and Wellness Center

  • Chiropractor
  • Weatherford, OK
National Provider Identifier
1912936667
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2452 Issued in OK
Legal business name
CHIROPRACTIC PHYSICIANS CLINIC
Doing business as
Oklahoma Health and Wellness Center
Practice address
4200 Carriage Way
Weatherford, OK 73096-9614
Phone
(580) 774-2214
Fax
(580) 774-2843
NPI assigned
Jul 2, 2006
Last updated
Mar 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Dr. Douglas B Cook, D.C.NPI 1659301059
Title
President
Phone
(580) 774-2214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2452 OK Primary

Addresses

Primary practice location

4200 Carriage Way
Weatherford, OK 73096-9614

Mailing address

4200 Carriage Way
Weatherford, OK 73096-9614
Phone (580) 774-2214

Other names 1

  • Oklahoma Health and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060909000040 OK Part B Supplier - Clinic/Group Practice 8921002700 Receives reassigned benefits from 1 practitioner
Practice locations: Weatherford, OK

National Provider Directory

National Provider Directory

Locations

1108 N Washington St
Weatherford, OK 73096
Phone (580) 774-2214

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1912936667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CARRIAGE WAY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969614",
            "telephone_number": "580-774-2214",
            "fax_number": "580-774-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CARRIAGE WAY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969614",
            "telephone_number": "580-774-2214",
            "fax_number": "580-774-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PHYSICIANS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-774-2214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.