Active NPI
Chesterfield D Featherston IV, DC
- Chiropractor
- Broken Arrow, OK
National Provider Identifier
1962809384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4175
- Practice address
- 1107 N Kalanchoe Ave
Broken Arrow, OK 74012-2378 - Phone
- (918) 543-3020
- Fax
- (918) 543-2149
- NPI assigned
- Dec 1, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 4175 | OK | Primary |
Addresses
Primary practice location
1107 N Kalanchoe Ave
Broken Arrow, OK 74012-2378
Mailing address
1107 N Kalanchoe Ave
Broken Arrow, OK 74012
Phone (918) 543-3020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 519447ZPZP | Other | INDIVIDUAL PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160811002587 | OK | Practitioner - Chiropractic | 6305130469 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brian S. Hicks D.C. Inc PC
Practice addresses (Care Compare)
7100 E 151St St S
Bixby, OK 74008-4137
Phone (918) 366-4461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4175 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian S. Hicks D.C. Inc PC | Chiropractor | Current | Accepting new patients |
| Joint Rehabilitation and Physical | Chiropractor | Current | Accepting new patients |
| Brian S. Hicks D.C. Inc P.C. | Chiropractor | Past | Accepting new patients |
| Tulsa Family Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
7100 E 151st St S
Bixby, OK 74008
Phone (918) 227-2788
1020 E Taft Ave
Sapulpa, OK 74066
Phone (918) 227-2788
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bixby, OK
- NPI 1265601900
-
- Chiropractor
- Inola, OK
- NPI 1184825556
-
- Chiropractor
- Sapulpa, OK
- NPI 1184895229
-
- Chiropractor
- Tulsa, OK
- NPI 1972638815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1962809384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 N KALANCHOE AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "74012",
"telephone_number": "918-543-3020",
"fax_number": "918-543-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 N KALANCHOE AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122378",
"telephone_number": "918-543-3020",
"fax_number": "918-543-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEATHERSTON",
"first_name": "CHESTERFIELD",
"middle_name": "D",
"name_suffix": "IV",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-01",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "519447ZPZP",
"state": null
}
],
"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 Jun 12, 2017; 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.