Organization Active NPI

Healing Life Chiropractic, P.C.

  • Exclusive Provider Organization
  • Tulsa, OK
National Provider Identifier
1972740264
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
3737 Issued in OK
Legal business name
HEALING LIFE CHIROPRACTIC, P.C.
Practice address
1335 E 11TH St
Suite a
Tulsa, OK 74120-4602
Phone
(918) 500-4452
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dr. Shannon Gulbranson, D.C.
Title
Authorized Official
Phone
(918) 500-4452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 3737 OK Primary

Addresses

Primary practice location

1335 E 11TH St
Suite a
Tulsa, OK 74120-4602

Mailing address

1335 E 11TH St
Suite a
Tulsa, OK 74120-4602
Phone (918) 500-4452

National Provider Directory

National Provider Directory

Locations

1660 E 71st St
Ste 2P
Tulsa, OK 74136

1335 E 11th St
Ste A
Tulsa, OK 74120
Phone (918) 500-4452

8002 S 101st East Ave
Ste B
Tulsa, OK 74133
Phone (918) 494-8890

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1972740264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E 11TH ST",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204602",
            "telephone_number": "918-500-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E 11TH ST",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204602",
            "telephone_number": "918-500-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING LIFE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "GULBRANSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-500-4452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OK",
            "license": "3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.