Active NPI
Michael Dwayne Zugelder, D.C.
- Chiropractor
- Broken Arrow, OK
National Provider Identifier
1952308850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2098
- Practice address
- 805 S 11TH St Ste B
Broken Arrow, OK 74012-5714 - Phone
- (918) 259-0001
- Fax
- (918) 259-0001
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2098 | OK | Primary |
Addresses
Primary practice location
805 S 11TH St Ste B
Broken Arrow, OK 74012-5714
Mailing address
2608 W Kenosha St Ste 344
Broken Arrow, OK 74012-8952
Phone (918) 259-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2098 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1952308850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 W KENOSHA ST STE 344",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128952",
"telephone_number": "918-259-0001",
"fax_number": "918-259-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S 11TH ST STE B",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125714",
"telephone_number": "918-259-0001",
"fax_number": "918-259-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUGELDER",
"first_name": "MICHAEL",
"middle_name": "DWAYNE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "2098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.