DERRYBERRY HEALTH PLLC (NPI# 1790947273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790947273 |
| Entity Type | Organization |
| Organization Name | DERRYBERRY HEALTH PLLC |
| Other Organization Name | DERRYBERRY CHIROPRACTIC |
| Practice Address |
1200 12th Ave Se 136 Norman OK 73071-2497 |
| Mailing Address |
1200 12th Ave Se #136 Norman OK 73071-2497 |
| Practice Telephone | 4057015777 |
| Practice Fax Number | 4057015778 |
| Mailing Telephone | 4057015777 |
| Mailing Fax Number | 4057015778 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | DR. BROC SLATER DERRYBERRY (OWNER) |
| Authorized Official Telephone | 4057015777 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3816 | OK | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Derryberry Chiropractic | Doing Business As Name - Organization |
| Street Address |
1200 12TH AVE SE 136 |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| 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 |
|---|---|---|---|---|
| 1295150548 | Aaron Kyle Gray | Chiropractor | 6401 N Interstate Dr, Norman, OK 73069-9514 | 2014-02-24 |
| 1699078873 | Curtis Wade Snodgrass | Chiropractor | 751 Canadian Trails Dr, Suite 500, Norman, OK 73072-7638 | 2010-12-10 |
| 1346540713 | Brenton D Delong | Chiropractor | 1018 24th Ave Nw Ste 100, Norman, OK 73069-6543 | 2010-11-01 |
| 1952533085 | Kreg Andrew Griffith | Chiropractor | 360 24th Ave Nw, Suite 114, Norman, OK 73069-6498 | 2009-08-24 |
| 1235339763 | Express Rehab | Chiropractor | 613 24th Ave Sw Ste 200, Norman, OK 73069-3984 | 2007-07-23 |
| 1356563928 | Spaulding Family Chiropractic P C | Chiropractor | 927 N Flood Ave, Norman, OK 73069 | 2007-05-03 |
| 1487878179 | Matthew B Spaulding | Chiropractor | 360 24th Ave Nw Ste 114, Norman, OK 73069-6499 | 2007-04-12 |
| 1841317286 | Kelley Scott Butts | Chiropractor | 519 E Robinson St, Norman, OK 73071-6614 | 2007-03-22 |
| 1649324336 | Raymond E Cook | Chiropractor | 2400 Tee Cir, Norman, OK 73069-6378 | 2007-01-22 |
| 1497811509 | Eve Marie Cohn | Chiropractor | 2300 Mckown Dr, Norman, OK 73072-6678 | 2007-01-01 |
| Find all providers in NORMAN | ||||
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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.