Individual provider Active NPI

Bailey Forell, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1982393906
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4553 Issued in OK
Practice address
924 NW 58TH St
Oklahoma City, OK 73118-5915
Phone
(405) 459-0183
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4553 OK Primary

Addresses

Primary practice location

924 NW 58TH St
Oklahoma City, OK 73118-5915

Mailing address

924 NW 58TH St
Oklahoma City, OK 73118-5915

Other practice location 1

8093 Brighton Ave
Edmond, OK 73034-1111
Phone (785) 656-0234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712000756 OK Practitioner - Chiropractic 7911367719 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4553OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Life Chiropractic PLLC Chiropractor CurrentSince Jul 1, 2023 Accepting new patients
Elevated Chiropractic LLC Chiropractor CurrentSince Jun 1, 2025 Accepting new patients

Locations

924 NW 58th St
Oklahoma City, OK 73118
Phone (405) 218-2500

3882 W 530
Ste D
Pryor, OK 74361
Phone (405) 400-9710

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1982393906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 NW 58TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 NW 58TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185915",
            "telephone_number": "405-459-0183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8093 Brighton Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730341111",
            "country_code": "US",
            "telephone_number": "785-656-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORELL",
        "first_name": "BAILEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4553",
            "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 May 4, 2023; 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.

Verify at the official NPI Registry.