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IMPACT CHIROPRACTIC CLINIC INC PC
NPI 1073732087
Chiropractor in Broken Arrow, OK

Active since April 25, 2007
4705 W URBANA ST, BROKEN ARROW, OK 74012(918) 893-6400(918) 893-6402 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Impact Chiropractic Clinic Inc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT CHIROPRACTIC CLINIC INC PC (NPI 1073732087) is a healthcare organization registered as a chiropractor in Broken Arrow, Oklahoma and active in the NPI registry since April 2007. The organization lists Kelley D Dehnhardt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073732087
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameIMPACT CHIROPRACTIC CLINIC INC PC
Location Address4705 W URBANA STBroken Arrow, OK 74012-5998
Mailing Address4705 W UrbanaBroken Arrow, OK 74012-5998 · (918) 893-6400 · Fax (918) 893-6402
Phone(918) 893-6400
Fax(918) 893-6402
Organization SubpartNo
Authorized OfficialKelley D DehnhardtOffice Manager · (918) 893-6400
Enumeration DateApril 25, 2007
Last NPPES UpdateDecember 15, 2009
✔ NPI 1073732087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 2589
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.
4705 W URBANA ST, Broken Arrow, OK 74012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact Chiropractic Clinic Inc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Impact Chiropractic Clinic Inc PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Corey Stubbs, D.C.
Chiropractic
NPI 1033220918
9709 E 79TH ST
Tulsa, OK 74133
(918) 994-4000
✔ Accepts Medicare1.5 mi
Timothy Tregoning, D.C.
Chiropractic
NPI 1437244746
11014 E. 51 ST.
Tulsa, OK 74146
(918) 664-2412
✔ Accepts Medicare3.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Chiropractic Clinic Inc PC's NPI number?

The NPI number for Impact Chiropractic Clinic Inc PC is 1073732087. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Impact Chiropractic Clinic Inc PC located?

Impact Chiropractic Clinic Inc PC is located at 4705 W Urbana St, Broken Arrow, OK 74012. The listed phone number is (918) 893-6400.

What is Impact Chiropractic Clinic Inc PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Impact Chiropractic Clinic Inc PC enrolled in Medicare?

Yes. Impact Chiropractic Clinic Inc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Chiropractic Clinic Inc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Impact Chiropractic Clinic Inc PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Impact Chiropractic Clinic Inc PC was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.