NPIMap

Organization Active NPI

Accident Care Clinic, Inc.

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1972704252
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3421 Issued in OK
Legal business name
ACCIDENT CARE CLINIC, INC.
Practice address
8505 S Western Ave
Oklahoma City, OK 73139-9209
Phone
(405) 636-4078
Fax
(405) 636-4079
NPI assigned
May 31, 2007
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Dr. Robert D Boggs, D.C.
Title
President
Phone
(405) 636-4078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3462 OK
Chiropractor 111N00000X 3421 OK Primary

Addresses

Primary practice location

8505 S Western Ave
Oklahoma City, OK 73139-9209

Mailing address

8505 S. Western Ave
Oklahoma City, OK 73139-2007
Phone (405) 636-4078

National Provider Directory

National Provider Directory
Tax ID family
Accident Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8505 S Western Ave
Oklahoma City, OK 73139
Phone (405) 636-4078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1972704252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 S. WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392007",
            "telephone_number": "405-636-4078",
            "fax_number": "405-636-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399209",
            "telephone_number": "405-636-4078",
            "fax_number": "405-636-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-636-4078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3462",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.