RADIANT LIFE CHIROPRACTIC PLLC


Address: 17236 N May Ave Ste A, Edmond, OK 73012-9137
Phone: 9402312980

RADIANT LIFE CHIROPRACTIC PLLC (NPI# 1548745797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548745797
Entity Type Organization
Organization Name RADIANT LIFE CHIROPRACTIC PLLC
Practice Address 17236 N May Ave Ste A
Edmond
OK 73012-9137
Mailing Address 429 Beechwood Ln
Madison
MS 39110-9341
Practice Telephone 9402312980
Mailing Telephone 9402312980
Enumeration Date 2018-10-03
Last Update Date 2018-10-03
Authorized Official Name DR. JESSICA RAY (OWNER/CHIROPRACTOR)
Authorized Official Telephone 9402312980
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor Chiropractic Providers

Office Location

Street Address 17236 N MAY AVE STE A
City EDMOND
State OK
Zip Code 73012-9137

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962013912 Ashley Lambert Counselor 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 2020-08-13
1699316083 First Rate Eye Care Pllc Optometrist 1140 Nw 192nd St., Suite A, Edmond, OK 73012 2019-10-07
1659869881 Brent Byers Registered Nurse 3040 Nw 179th Ct, Edmond, OK 73012 2018-04-24
1386173672 John A Hale Respiratory Therapist, Certified 19100 Meadows Crossing Drive, Edmond, OK 73012 2017-06-08
1740715598 Ryan Hays Counselor 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 2017-04-28
1245691336 Jessica Collins Behavioral Analyst 18217 Sandhurst Ct, Edmond, OK 73012 2016-03-16
1538545801 Cynthia Ann Thompson Case Manager/Care Coordinator 1732 Kelly, Edmond, OK 73012 2015-08-10
1538564224 Function Physical Therapy, LLC Physical Therapist 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 2014-10-24
1003227414 Deer Creek Family Healthcare and Wellness Clinic LLC Clinic/Center 19401 N. Portland, Edmond, OK 73012 2014-05-20
1316383649 Ralphs Family Pharmacy Inc Durable Medical Equipment & Medical Supplies 1101 Nw178th Street, Suite A, Edmond, OK 73012 2013-05-14
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316556822 Edmond Chiropractic Rehabilitation Pllc Chiropractor 3201 E Memorial Rd Ste C, Edmond, OK 73013-7093 2020-07-30
1154948073 Thrive Chiropractic Group 3 LLC Chiropractor 1201 Nw 178th St Ste 119, Edmond, OK 73012-4280 2020-06-26
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1720592678 Joren Michael Whitley Chiropractor 1973 W 33rd St # 110, Edmond, OK 73013-3875 2017-11-29
1194243568 Nightengale Chiropractic, LLC Chiropractor 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 2017-09-06
1922555994 Catherine Rose Haikin Chiropractor 1751 W 33rd St, Suite 130, Edmond, OK 73013 2016-09-07
1669837886 Caitlin Hanks Chiropractor 29 W 15th St, Edmond, OK 73013-4002 2015-12-16
1619366127 Dr. Megan January Pllc Chiropractor 15009 Bristol Park Blvd, Edmond, OK 73013-1887 2015-01-21
1750786448 Cox Chiropractic Chiropractor 1801 Brittany Ln, Edmond, OK 73003-3871 2014-10-24
1407197866 Frontier Family Chiropractic Chiropractor 1132 Providence Ct, Edmond, OK 73003-6155 2013-03-11
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City EDMOND
Zip Code 73012

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Dataset Information

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.

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