Organization Active NPI

KD Chiropractic

  • Chiropractor
  • Enid, OK
National Provider Identifier
1932335197
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2554 Issued in OK
Legal business name
KD CHIROPRACTIC
Practice address
802 W Purdue Ave
Enid, OK 73701-1852
Phone
(580) 233-2020
Fax
(580) 234-5618
NPI assigned
Jun 2, 2009
Last updated
Jun 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Dr. David W Brewer, DC
Title
Contact Doctor
Phone
(580) 233-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2554 OK Primary

Addresses

Primary practice location

802 W Purdue Ave
Enid, OK 73701-1852

Mailing address

802 W Purdue Ave
Enid, OK 73701-1852
Phone (580) 233-2020

National Provider Directory

National Provider Directory

Locations

802 W Purdue Ave
Enid, OK 73701
Phone (580) 233-2020

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1932335197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W PURDUE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011852",
            "telephone_number": "580-233-2020",
            "fax_number": "580-234-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W PURDUE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011852",
            "telephone_number": "580-233-2020",
            "fax_number": "580-234-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONTACT DOCTOR",
        "authorized_official_telephone_number": "580-233-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.