DR. TERESA ANN VESTAL (NPI# 1558693614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558693614 |
Entity Type | Individual |
Full Name | DR. TERESA ANN VESTAL |
Credential | D.C. |
Practice Address |
373 S Yukon Pkwy Suite C Yukon OK 73099-4596 |
Mailing Address |
1809 Commons Cir Ste A Yukon OK 73099-9528 |
Practice Telephone | 4054947007 |
Practice Fax Number | 4054947006 |
Mailing Telephone | 4055776268 |
Mailing Fax Number | 4055776371 |
Enumeration Date | 2010-01-31 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3965 | OK | Chiropractic Providers |
N | 111N00000X | Chiropractor | 11365 | TX | Chiropractic Providers |
Street Address |
373 S YUKON PKWY SUITE C |
City | YUKON |
State | OK |
Zip Code | 73099-4596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891148896 | Monica Piros | Social Worker | 373 S Yukon Pkwy, Suite A, Yukon, OK 73099-4596 | 2016-07-14 |
1609236041 | Creating Change | Clinic/Center | 373 S Yukon Pkwy, Suite B, Yukon, OK 73099-4596 | 2016-02-27 |
1568718187 | Tonia Clem | Social Worker | 373 S Yukon Pkwy, Yukon, OK 73099-4596 | 2012-08-01 |
1891055331 | Synergy Wellness & Chiropractic Pllc | Chiropractor | 373 S Yukon Pkwy, Ste. C, Yukon, OK 73099-4596 | 2012-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
Find all providers in zip 73099 |
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 |
---|---|---|---|---|
1093328536 | Christian Minard | Chiropractor | 12110 Ashford Dr Ste 200, Yukon, OK 73099-8759 | 2020-08-25 |
1427556695 | Jeremy Maass | Chiropractor | 1612 Garth Brooks Blvd, Yukon, OK 73099-7441 | 2018-01-23 |
1821536004 | Ccw Chiropractic | Chiropractor | 869 S Mustang Rd, Yukon, OK 73099-6779 | 2017-02-07 |
1083025670 | Mark A. Kimble Jr. | Chiropractor | 11301 W. Reno, Suite G., Yukon, OK 73099 | 2014-05-16 |
1114343795 | Christina M Redding | Chiropractor | 1117 S Ranchwood Blvd, Yukon, OK 73099-4871 | 2014-03-06 |
1508299116 | Jonathan Ray Vestal | Chiropractor | 1809 Commons Cir Ste A, Yukon, OK 73099-9528 | 2013-08-19 |
1013244268 | Matthew Unruh | Chiropractor | 1321 Chimney Hill Rd, Yukon, OK 73099-3106 | 2009-11-09 |
1548406945 | Lance B Doyle | Chiropractor | 1050 W Vandament Ave, Yukon, OK 73099-3877 | 2009-01-06 |
1275712184 | Amanda Michelle Housh | Chiropractor | 1809 Commons Cir, A, Yukon, OK 73099 | 2007-10-26 |
1285855577 | George Franklin Gorton | Chiropractor | 314 Elm Ave, Yukon, OK 73099-2627 | 2007-05-02 |
Find all providers in YUKON |
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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.