STATES CHIROPRACTIC PLLC (NPI# 1467880856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467880856 |
Entity Type | Organization |
Organization Name | STATES CHIROPRACTIC PLLC |
Practice Address |
2806 N Kickapoo Ave Shawnee OK 74804-1798 |
Practice Telephone | 4052751948 |
Practice Fax Number | 4052751958 |
Mailing Telephone | 4052751948 |
Mailing Fax Number | 4052751958 |
Enumeration Date | 2013-10-22 |
Last Update Date | 2013-10-22 |
Authorized Official Name | DR. KYLE LEE STATES (OWNER/OPERATOR) |
Authorized Official Telephone | 4052751948 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4073 | OK | Chiropractic Providers |
Street Address |
2806 N KICKAPOO AVE |
City | SHAWNEE |
State | OK |
Zip Code | 74804-1798 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235613027 | Cmn Enterprises,llc | Orthotist | 2806 N Kickapoo Ave, Shawnee, OK 74804-1798 | 2018-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
Find all providers in zip 74804 |
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 |
---|---|---|---|---|
1679055115 | Isom Chiropractic LLC | Chiropractor | 10942 W 74th Ter, Shawnee, KS 66203-4420 | 2018-08-31 |
1366938920 | Dana James Huebner | Chiropractor | 16314 W 65th St, Shawnee, KS 66217-9799 | 2018-07-06 |
1336661263 | Margaret Flynn | Chiropractor | 22120 Midland Dr., Shawnee, KS 66266 | 2017-07-12 |
1073991998 | Dustin H. Moses | Chiropractor | 15945 W 65th St, Shawnee, KS 66217-9342 | 2015-05-12 |
1376894600 | Kyle L States | Chiropractor | 65 Timber Creek Dr, Shawnee, OK 74804-1148 | 2012-09-26 |
1851523567 | Sean Cailteux | Chiropractor | 7410 Switzer Rd, Shawnee, KS 66203 | 2009-08-13 |
1508006016 | Jacob J Leba | Chiropractor | 11 W Macarthur St, Shawnee, OK 74804-2025 | 2009-02-23 |
1790934065 | Joel Erron Terry | Chiropractor | 12402 W 62nd Ter, Shawnee, KS 66216-1810 | 2008-09-11 |
1831383298 | Dustin James Hedstrom | Chiropractor | 10610 Shawnee Mission Pkwy Ste 210, Shawnee, KS 66203-3501 | 2007-08-29 |
1487854196 | Cunningham Chiropractic Clinic, PC | Chiropractor | 678 Kickapoo Spur St Ste B, Shawnee, OK 74801-4851 | 2007-07-20 |
Find all providers in SHAWNEE |
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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.