415 Main LLC
NPI 1093037046ActiveOrganization· Chiropractor· Oklahoma City, OK
Chiropractor in Oklahoma City, Oklahoma, registered in NPPES in February 2010. The authorized official on file is Tracy Ellis, DC, Owner.
Overview
| NPI | 1093037046 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2010 |
| Last updated in NPPES | Dec 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3509 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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