Organization Active NPI

Foutz Chiropractic, PLLC

  • Chiropractor
  • Claremore, OK
National Provider Identifier
1962772855
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3450 Issued in OK
Legal business name
FOUTZ CHIROPRACTIC, PLLC
Practice address
997 W Will Rogers Blvd
Suite a
Claremore, OK 74017-5416
Phone
(918) 283-2222
Fax
(918) 341-6976
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Tina Foutz, D.C.NPI 1205844859
Title
Managing Member
Phone
(918) 283-2222

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 3450 OK Primary

Addresses

Primary practice location

997 W Will Rogers Blvd
Suite a
Claremore, OK 74017-5416

Mailing address

997 W Will Rogers Blvd
Suite a
Claremore, OK 74017-5416
Phone (918) 283-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000360 OK Part B Supplier - Clinic/Group Practice 1759549645 Receives reassigned benefits from 1 practitioner
Practice locations: Claremore, OK

National Provider Directory

National Provider Directory

Locations

997 W Will Rogers Blvd
Ste A
Claremore, OK 74017
Phone (918) 283-2222

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": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1962772855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 W WILL ROGERS BLVD",
            "address_2": "SUITE A",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175416",
            "telephone_number": "918-283-2222",
            "fax_number": "918-341-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 W WILL ROGERS BLVD",
            "address_2": "SUITE A",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175416",
            "telephone_number": "918-283-2222",
            "fax_number": "918-341-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUTZ CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "FOUTZ",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-283-2222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3450",
            "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 Jan 9, 2012; 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.