Organization Active NPI

Wilbanks Chiropractic PLLC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1922358779
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4035 Issued in OK
Legal business name
WILBANKS CHIROPRACTIC PLLC
Practice address
3820 E 51St St Ste a
Tulsa, OK 74135-3610
Phone
(918) 747-0939
Fax
(918) 747-3939
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Brandon Earl Wilbanks, D.C.NPI 1346538857
Title
Doctor/Owner
Phone
(918) 747-0939

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 4035 OK Primary

Addresses

Primary practice location

3820 E 51St St Ste a
Tulsa, OK 74135-3610

Mailing address

3820 E 51St St Ste a
Tulsa, OK 74135-3610
Phone (918) 747-0939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000604 OK Part B Supplier - Clinic/Group Practice 0143479006 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

3820 E 51st St
Ste A
Tulsa, OK 74135
Phone (918) 231-7832

8205 E Regal Ct
Ste 106
Tulsa, OK 74133
Phone (918) 671-8506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1922358779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 E 51ST ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353610",
            "telephone_number": "918-747-0939",
            "fax_number": "918-747-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 E 51ST ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353610",
            "telephone_number": "918-747-0939",
            "fax_number": "918-747-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBANKS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "WILBANKS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "918-747-0939",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.