CHIROPRACTIC HEALTH CLINIC (NPI# 1649588096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649588096 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC HEALTH CLINIC |
| Other Organization Name | DICKERSON CHIROPRACTIC CLINIC |
| Practice Address |
3705 N Harrison St Shawnee OK 74804-2223 |
| Practice Telephone | 4052736822 |
| Practice Fax Number | 8884132901 |
| Mailing Telephone | 4052736822 |
| Mailing Fax Number | 8884132901 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | DR. DAVID P DICKERSON (PRES) |
| Authorized Official Telephone | 4052736822 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4127 | OK | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Dickerson Chiropractic Clinic | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407001696 | Chiropractic Health Clinic | Clinic/Center | 470 Chamberlain Ave Ste 1, Paterson, NJ 07522-1000 | 2008-12-01 |
| 1528234770 | Chiropractic Health Clinic | Chiropractor | 725 Route 57, Stewartsville, NJ 08886-0026 | 2008-05-07 |
| 1477680064 | Chiropractic Health Clinic | Chiropractor | 2549 Jolly Rd, Ste 360, Okemos, MI 48864-3678 | 2007-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CHIROPRACTIC HEALTH CLINIC | 255 N First Pl, Hermiston, OR 97838 |
| Virginia Business Entities | CHIROPRACTIC HEALTH CLINIC OF MANASSAS INC. | 9387 Forestwood Lane, Manassas, Virginia 20110 |
| Street Address |
3705 N HARRISON ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497824650 | Jay Loyd Ernst | Chiropractor | 3705 N Harrison St, Shawnee, OK 74804-2223 | 2006-11-06 |
| 1548457690 | Jay Ernst, Dc,pc | Chiropractor | 3705 N Harrison St, Shawnee, OK 74804-2223 | 2007-10-02 |
| 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 |
| 1467880856 | States Chiropractic Pllc | Chiropractor | 2806 N Kickapoo Ave, Shawnee, OK 74804-1798 | 2013-10-22 |
| 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 |
| 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.