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LAKE HEALTH AND CHIROPRACTIC, PLLC
NPI 1073814596
Chiropractor in Grove, OK

Active since November 15, 2010
1107 E. 13TH ST., SUITES A&B, GROVE, OK 74344(918) 786-8834(918) 786-6520 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lake Health And Chiropractic, Pllc NPPES

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

LAKE HEALTH AND CHIROPRACTIC, PLLC (NPI 1073814596), doing business as Stout-ferguson Chiropractic, is a healthcare organization registered as a chiropractor in Grove, Oklahoma and active in the NPI registry since November 2010. The organization lists Sammie Jo Ferguson, Manager/co-owner, as its authorized official.

NPPES Registry Identity

NPI1073814596
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKE HEALTH AND CHIROPRACTIC, PLLC
Location Address1107 E. 13TH ST., SUITES A&BGrove, OK 74344-7956
Mailing Address1107 E. 13th St., Suites A&bGrove, OK 74344-7956 · (918) 786-8834 · Fax (918) 786-6520
Phone(918) 786-8834
Fax(918) 786-6520
Organization SubpartNo
Authorized OfficialSammie Jo FergusonManager/co-owner · (918) 786-8834
Enumeration DateNovember 15, 2010
Last NPPES UpdateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1073814596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3930
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.
1107 E. 13TH ST., SUITES A&B, Grove, OK 74344
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Other Names 1

Former Legal Business NameStout-ferguson Chiropractic

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)

Lake Health And Chiropractic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Lake Health And Chiropractic, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Joseph Ferguson, D.C.
Chiropractic
NPI 1669601936
1107 E 13TH ST., SUITES A&B
Grove, OK 74344
(918) 786-8834
✔ Accepts MedicareSame address
Sammie Ferguson, D.C.
Chiropractic
NPI 1265667836
1107 E 13TH ST., SUITES A&B
Grove, OK 74344
(918) 786-8834
✔ Accepts MedicareSame address
Cayden Harper, DC
Chiropractic
NPI 1124978200
1107 E 13TH ST
Grove, OK 74344
(918) 786-8834
✔ Accepts Medicare1.3 mi
Dusti Tatum
Chiropractic
NPI 1184106585
25 S MAIN
Miami, OK 74354
(918) 786-8834
✔ Accepts Medicare21 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 Lake Health And Chiropractic, PLLC's NPI number?

The NPI number for Lake Health And Chiropractic, PLLC is 1073814596. It was assigned to this organization in the NPPES registry on November 15, 2010. The provider was formerly known as Stout-Ferguson Chiropractic.

Where is Lake Health And Chiropractic, PLLC located?

Lake Health And Chiropractic, PLLC is located at 1107 E. 13th St., Suites A&b, Grove, OK 74344. The listed phone number is (918) 786-8834.

What is Lake Health And Chiropractic, PLLC's specialty?

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

Is Lake Health And Chiropractic, PLLC enrolled in Medicare?

Yes. Lake Health And Chiropractic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Health And Chiropractic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Lake Health And Chiropractic, PLLC. 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 at this address and 3 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 Lake Health And Chiropractic, PLLC was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.