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Back Pain Boot Camp

NPI 1891963807ActiveOrganization· Chiropractor· Broken Arrow, OK

Chiropractor in Broken Arrow, Oklahoma, registered in NPPES in February 2008. The authorized official on file is Darrick Davis, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1891963807
StatusActive
Entity typeOrganization
NPI issuedFeb 12, 2008
Last updated in NPPESFeb 12, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X3203OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (OK)

Medicare sources and data years

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