Keara Dwyer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4202 Issued in OK

Practice address

11560 N 135TH East Ave Ste 101a
Owasso, OK 74055-5756

Phone

(918) 553-6770

NPI assigned

Sep 4, 2015

Last updated

Aug 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Keara Cavitt Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Country Chiropractic LLCGroup PAC ID 7214246321, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Country Chiropractic LLC

  • Chiropractor
  • Owasso, OK
  • NPI 1013385285
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1942678115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 N 135TH EAST AVE STE 101A",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555756",
            "telephone_number": "918-553-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 N 135TH EAST AVE STE 101A",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555756",
            "telephone_number": "918-553-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "KEARA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEARA",
            "last_name": "CAVITT",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryan James Dunn, ATC/L, CSCS
• Parker James Dunn
• Travis Edward Dust, D.C.
• Leanna Dutton
• Amy Dawn Dwiggins, PHARMD
• Alicia R Easlon, PHARM D
• Patrick Easterling
• Breece Michael Eberley, M.D.
• Ecclesia Counseling Services LLC
• Travis Colton Eden, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.