Active NPI
Tulsa Family Chiropractic
- Chiropractor
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3472
- Legal business name
- TULSA FAMILY CHIROPRACTIC
- Practice address
- 3515 E 31St St Ste B
Tulsa, OK 74135-1520 - Phone
- (918) 749-4263
- Fax
- (866) 543-9680
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derek Durrell Coffman, DC
- Title
- Owner
- Phone
- (918) 271-4805
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3472 | OK | Primary |
Addresses
Primary practice location
3515 E 31St St Ste B
Tulsa, OK 74135-1520
Mailing address
3515 E 31St St Ste B
Tulsa, OK 74135-1520
Phone (918) 749-4263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3472 | Other | OK | OK LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211220001692 | OK | Part B Supplier - Clinic/Group Practice | 1456742899 |
Receives reassigned benefits from 1 practitioner Practice locations: Tulsa, OK |
National Provider Directory
National Provider DirectoryLocations
4520 S Harvard Ave
Ste 100
Tulsa, OK 74135
Phone (918) 743-7500
3515 E 31st St
Ste B
Tulsa, OK 74135
Phone (918) 749-4263
4520 S Harvard Ave
Ste 1
Tulsa, OK 74135
Phone (918) 743-7500
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tulsa, OK
- NPI 1457345464
-
- Chiropractor
- Sapulpa, OK
- NPI 1427109693
-
- Chiropractor
- Broken Arrow, OK
- NPI 1962809384
-
- Chiropractor
- Bixby, OK
- NPI 1063723849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1972638815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 E 31ST ST STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741351520",
"telephone_number": "918-749-4263",
"fax_number": "866-543-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 E 31ST ST STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741351520",
"telephone_number": "918-749-4263",
"fax_number": "866-543-9680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULSA FAMILY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "COFFMAN",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "DURRELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-271-4805",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OK",
"license": "3472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK LICENSE",
"identifier": "3472",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Tulsa Eye Associates Optical Inc
- Tulsa Eye Associates, Inc., a Professional Corporation
- Tulsa Eye Center PLLC
- Tulsa Eye Consultants, Inc.
- Tulsa Eye Specialty, LLC
- Tulsa Family Dental
- Tulsa Family Development Center
- Tulsa Family Psychiatry & Wellness, Inc
- Tulsa Fertility Center, PLLC
- Tulsa Foot & Ankle Clinic, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.