IDABEL CHIROPRACTIC CLINIC PLLC (NPI# 1609888775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609888775 |
| Entity Type | Organization |
| Organization Name | IDABEL CHIROPRACTIC CLINIC PLLC |
| Other Organization Name | ENSLEY CHIROPRACTIC |
| Practice Address |
1420 Se Washington St Idabel OK 74745-3448 |
| Practice Telephone | 5802866546 |
| Mailing Telephone | 5802866546 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | DR. ERIC L ENSLEY (OWNER/DOCTOR) |
| Authorized Official Telephone | 5802866546 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3768 | OK | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Ensley Chiropractic | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | IDABEL CHIROPRACTIC CLINIC PLLC | 1420 Se Washington, Idabel, OK 74745-3448 |
| Street Address |
1420 SE WASHINGTON ST |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245271360 | Eric L Ensley | Chiropractor | 1420 Se Washington St, Idabel, OK 74745-3448 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| 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 |
|---|---|---|---|---|
| 1245271360 | Eric L Ensley | Chiropractor | 1420 Se Washington St, Idabel, OK 74745-3448 | 2006-06-09 |
| 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 | ||||
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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.