Organization Active NPI

Willemstein Enterprises, Inc

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1992926828
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2393 Issued in OK
Legal business name
WILLEMSTEIN ENTERPRISES, INC
Practice address
2303 S Memorial Dr
Tulsa, OK 74129-2615
Phone
(918) 622-9533
Fax
(918) 622-9533
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Dr. Lecraig John Willemstein, D.C.NPI 1215027255
Title
President
Phone
(918) 622-9533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2393 OK Primary

Addresses

Primary practice location

2303 S Memorial Dr
Tulsa, OK 74129-2615

Mailing address

2303 S Memorial Dr
Tulsa, OK 74129-2615
Phone (918) 622-9533

Other names 1

  • Care Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120816000277 OK Part B Supplier - Clinic/Group Practice 8628224193 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2303 S Memorial Dr
Tulsa, OK 74129
Phone (918) 622-9533

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1992926828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741292615",
            "telephone_number": "918-622-9533",
            "fax_number": "918-622-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741292615",
            "telephone_number": "918-622-9533",
            "fax_number": "918-622-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLEMSTEIN ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLEMSTEIN",
        "authorized_official_first_name": "LECRAIG",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-622-9533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 31, 2012; 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.