Jennifer Lynn Galles-Long, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3339 Issued in OK

Practice address

1702 N Commerce St
Suite E
Ardmore, OK 73401-1525

Phone

(580) 223-8200

Fax

(580) 223-8212

NPI assigned

Jun 5, 2007

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soul Purpose Dba Lone Grove Chiropractic Clinic

  • Chiropractor
  • Lone Grove, OK
  • NPI 1174014609
  Medicare reassignment NPD
• Ardmore Chiropractic Clinic, Inc.

  • Chiropractor
  • Ardmore, OK
  • NPI 1528289329
  NPD (past)
• Ardmore Vision & Laser Eye Center PC

  • Optometrist
  • Ardmore, OK
  • NPI 1811256811
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1972705499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "LONE GROVE",
            "state": "OK",
            "postal_code": "734430147",
            "telephone_number": "580-657-6664",
            "fax_number": "580-657-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N COMMERCE ST",
            "address_2": "SUITE E",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011525",
            "telephone_number": "580-223-8200",
            "fax_number": "580-223-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLES-LONG",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Simon Germans Gabriel, M.D
• Bryce Gaddy
• Sierra Lorene Gaines
• Ryan Joe Gaither
• Galles Chiropractic Clinic
• Patrick Michael Galles, D.C.
• Harry Galoob, M.D.
• Pamela Denise Gamble
• Mackey Andrews Gammill
• Elizabeth Gannon, SLP

• Chiropractor in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.

Verify at the official NPI Registry.