Impact Chiropractic Clinic Inc PC
NPI 1073732087ActiveOrganization· Chiropractor· Broken Arrow, OK
Chiropractor in Broken Arrow, Oklahoma, registered in NPPES in April 2007. The authorized official on file is Kelley D. Dehnhardt, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073732087 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2007 |
| Last updated in NPPES | Dec 15, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 2589 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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