Active NPI
Jonis Chatzigiannidis, LPED, DOMP, MT
- Specialist
- Tulsa, OK
National Provider Identifier
1992772917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 26
- Practice address
- 6465 S Yale Ave Ste 608
Tulsa, OK 74136-7808 - Phone
- (918) 747-8224
- Fax
- (918) 935-3499
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 26 | OK | |
| Pedorthist | 224L00000X | 26 | OK | |
| Orthotic Fitter | 225000000X | 26 | OK | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| Specialist | 174400000X | 26 | OK | Primary |
| Massage Therapist | 225700000X | 157326 | OK |
Addresses
Primary practice location
6465 S Yale Ave Ste 608
Tulsa, OK 74136-7808
Mailing address
6465 S Yale Ave
Suite 608
Tulsa, OK 74136
Phone (918) 747-8224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26 | OK | MD | Specialist |
| 157326 | OK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feet Unlimited, Inc | Current | Accepting new patients |
Locations
6465 S Yale Ave
Ste 608
Tulsa, OK 74136
Phone (918) 743-2681
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Tulsa, OK
- NPI 1134326440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1992772917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 S YALE AVE",
"address_2": "SUITE 608",
"city": "TULSA",
"state": "OK",
"postal_code": "74136",
"telephone_number": "918-747-8224",
"fax_number": "918-296-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 S YALE AVE STE 608",
"city": "TULSA",
"state": "OK",
"postal_code": "741367808",
"telephone_number": "918-747-8224",
"fax_number": "918-935-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATZIGIANNIDIS",
"first_name": "JONIS",
"credential": "LPED, DOMP, MT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "OK",
"license": "26",
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "OK",
"license": "26",
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "OK",
"license": "26",
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "26",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "157326",
"primary": false
}
],
"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 Aug 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.