Texoma Chiropractic and Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TEXOMA CHIROPRACTIC AND WELLNESS CENTER LLC

Practice address

1259 N Washington Ave
Durant, OK 74701-2119

Phone

(580) 920-2555

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Dalton Brown, DCNPI 1972143683

Title

Chiropractor

Phone

(918) 413-3979

Specialties & licenses 1

Addresses

Other names 1

• Spinal Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 4

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

• Dalton Brown, DC

  • Chiropractor
  • Durant, OK
  • NPI 1972143683
  Medicare reassignment NPD Authorized official
• Janna Marie Cottingame, D.C.

  • Chiropractor
  • Durant, OK
  • NPI 1114210556
  NPD
• Jonathan Spiva, D.C.

  • Chiropractor
  • Madill, OK
  • NPI 1053726687
  NPD
• Brandi L. Barker, D.C.

  • Chiropractor
  • Southlake, TX
  • NPI 1740762459
  NPD (past)

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1922709807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-920-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-920-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DALTON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-413-3979",
        "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": [
        {
            "organization_name": "Spinal Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camilla Kristin Tegnander, M.D.
• Cameron Tennison
• Micah Lee Tennison, MTS, BS
• Monica Rae Terrell, BA
• Texoma Cardio Diagnostics LLC
• Texoma Medical Center
• Texoma Pain Management Specialist PLLC
• Texoma Pediatrics, PLLC
• Texoma Regional Eye Institute, LLC
• Texoma Senior Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.