Organization Active NPI

Claremore Chiropractic and Rehab Inc.

  • Chiropractor
  • Claremore, OK
National Provider Identifier
1942087341
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLAREMORE CHIROPRACTIC AND REHAB INC.
Practice address
900 E Will Rogers Blvd Ste D
Claremore, OK 74017-6307
Phone
(918) 341-6535
Fax
(918) 341-6566
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Dr. Drake Gardner, DCNPI 1811642507
Title
Associate Chiropractor
Phone
(918) 884-9418

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 Primary

Addresses

Primary practice location

900 E Will Rogers Blvd Ste D
Claremore, OK 74017-6307

Mailing address

9236 N 144TH East Ave
Owasso, OK 74055-2681
Phone (918) 884-9418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231122002373 OK Part B Supplier - Clinic/Group Practice 6608224068 Receives reassigned benefits from 1 practitioner
Practice locations: Claremore, OK

National Provider Directory

National Provider Directory

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1942087341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9236 N 144TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552681",
            "telephone_number": "918-884-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WILL ROGERS BLVD STE D",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176307",
            "telephone_number": "918-341-6535",
            "fax_number": "918-341-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMORE CHIROPRACTIC AND REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DRAKE",
        "authorized_official_title_or_position": "ASSOCIATE CHIROPRACTOR",
        "authorized_official_telephone_number": "918-884-9418",
        "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": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.