CCM CHIROPRACTIC LLC (NPI# 1437475282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437475282 |
| Entity Type | Organization |
| Organization Name | CCM CHIROPRACTIC LLC |
| Practice Address |
413 E Main St Locust Grove OK 74352 |
| Mailing Address |
Po Box 1471 Locust Grove OK 74352-1471 |
| Practice Telephone | 9184792827 |
| Mailing Telephone | 9184792827 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | DR. CLINTON C. MOORE (CHIROPRACTOR) |
| Authorized Official Telephone | 9184792827 |
| Authorized Official Credential | D. C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3649 | OK | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CCM CHIROPRACTIC LLC | 413 E Main St, Locust Grove, OK 74352 |
| Street Address |
413 E MAIN ST |
| City | LOCUST GROVE |
| State | OK |
| Zip Code | 74352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992813505 | Clinton C. Moore | Chiropractor | 413 E Main St, Locust Grove, OK 74352 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124156807 | County of Mayes Locust Grove Schools | Public Health or Welfare | 700 North Highway 82, Locust Grove Middle School, Locust Grove, OK 74352 | 2007-03-02 |
| 1154371524 | Lora M Collier | Family Medicine | 609 E Main, Locust Grove, OK 74352 | 2006-05-10 |
| 1619964681 | Locust Grove Care Center LLC | Skilled Nursing Facility | 117 Wyandotte & Ross, Locust Grove, OK 74352 | 2005-10-04 |
| 1902856909 | Mitchell J Collier | Family Medicine | 609 E Main, Locust Grove, OK 74352 | 2006-05-11 |
| 1790076719 | Cynthia Lorraine Parent | Counselor | 1339 N. 435 Rd., Locust Grove, OK 74352-0354 | 2011-04-25 |
| 1861502650 | Linda Sue Hinrichs | Nurse Anesthetist, Certified Registered | 5623 S 440, Locust Grove, OK 74352-1279 | 2006-08-30 |
| 1417138736 | Absolute Dental | Dentist | 409 E. Main Street, Locust Grove, OK 74352-1365 | 2007-11-15 |
| 1023660834 | Christina Whaler | Peer Specialist | 7749 S 4427 Rd, Locust Grove, OK 74352-2005 | 2019-07-11 |
| 1578016523 | Stacy Henington | Technician | 695 E Joe Koelsch Dr, Locust Grove, OK 74352-2061 | 2016-07-26 |
| 1194120048 | Nora Koepp | Counselor | 11110 S 440, Locust Grove, OK 74352-4571 | 2014-11-04 |
| Find all providers in zip 74352 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699964171 | Locust Grove Clinic, P.C. | Chiropractor | 2648 Highway 42, Locust Grove, GA 30248-2519 | 2007-10-19 |
| 1043375512 | Curt Joseph Blabaum | Chiropractor | 4857 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 | 2006-12-26 |
| 1861569576 | Robert A King | Chiropractor | 208 Pine Valley Rd, Locust Grove, VA 22508-5426 | 2006-11-29 |
| 1710070610 | Christine M Stewart | Chiropractor | 4448 Germanna Hwy, Suite 3b, Locust Grove, VA 22508-2012 | 2006-10-02 |
| 1568568491 | Elizabeth Catherine Tully | Chiropractor | 835 Jackson St, Locust Grove, GA 30248-4137 | 2006-09-16 |
| 1992813505 | Clinton C. Moore | Chiropractor | 413 E Main St, Locust Grove, OK 74352 | 2006-08-25 |
| 1770659161 | Peter James Tully | Chiropractor | 835 Jackson St, Locust Grove, GA 30248-4137 | 2006-11-28 |
| 1366535247 | Wilderness Family Chiropractic | Chiropractor | 4448 Germanna Hwy, Suite 3b, Locust Grove, VA 22508-2012 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328536 | Christian Minard | Chiropractor | 12110 Ashford Dr Ste 200, Yukon, OK 73099-8759 | 2020-08-25 |
| 1598377178 | Hannah Schwartzer | Chiropractor | 2601 N Aspen Ave Ste 1023, Broken Arrow, OK 74012-1378 | 2020-08-17 |
| 1316556822 | Edmond Chiropractic Rehabilitation Pllc | Chiropractor | 3201 E Memorial Rd Ste C, Edmond, OK 73013-7093 | 2020-07-30 |
| 1083222715 | Chirothere, LLC | Chiropractor | 4416 N Western Ave Ste 205b, Oklahoma City, OK 73118-5256 | 2020-07-20 |
| 1679181648 | Sierra Quinn | Chiropractor | 177145 Highway 277, Geronimo, OK 73543-5211 | 2020-07-16 |
| 1154948073 | Thrive Chiropractic Group 3 LLC | Chiropractor | 1201 Nw 178th St Ste 119, Edmond, OK 73012-4280 | 2020-06-26 |
| 1306465307 | Brennan Chiropractic Clinic Corporation | Chiropractor | 2140 S Harvard Ave Ste 111, Tulsa, OK 74114-1957 | 2020-04-10 |
| 1790315547 | Kyle Brent Babcock | Chiropractor | 4900 Richmond Sq Ste 108, Oklahoma City, OK 73118-2043 | 2020-01-21 |
| 1083244180 | Adrian Barker | Chiropractor | 4721 W 6th Ave Ste 120, Stillwater, OK 74074-1549 | 2020-01-17 |
| 1518506310 | Daniel S Holt | Chiropractor | 13838 Quail Pointe Dr Ste A, Oklahoma City, OK 73134-1003 | 2019-12-27 |
| Find all providers with the same taxonomy | ||||
| City | LOCUST GROVE |
| Zip Code | 74352 |
Please comment or provide details below to improve the information on CCM CHIROPRACTIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.