Active NPI
Michael J Hale, D.C.
- Chiropractor
- Broken Arrow, OK
National Provider Identifier
1992928774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3831
- Practice address
- 6323 S Elm PL
Broken Arrow, OK 74011-4101 - Phone
- (918) 455-0195
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3831 | OK | Primary |
Addresses
Primary practice location
6323 S Elm PL
Broken Arrow, OK 74011-4101
Mailing address
517 Park St
Wagoner, OK 74467-3512
Phone (918) 231-6770
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3831 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1992928774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 PARK ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744673512",
"telephone_number": "918-231-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6323 S ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740114101",
"telephone_number": "918-455-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.