Individual provider Active NPI

Jonis Chatzigiannidis, LPED, DOMP, MT

  • Specialist
  • Tulsa, OK
National Provider Identifier
1992772917
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26 Issued in OK
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

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26OKMDSpecialist
157326OKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feet Unlimited, Inc CurrentSince Oct 29, 2023 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.

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.

Verify at the official NPI Registry.