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415 MAIN LLC
NPI 1093037046
Chiropractor in Oklahoma City, OK

Active since February 18, 2010
10317 GREENBRIAR PKWY, OKLAHOMA CITY, OK 73159(405) 378-3400(866) 323-7959 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 415 Main Llc NPPES

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

415 MAIN LLC (NPI 1093037046) is a healthcare organization registered as a chiropractor in Oklahoma City, Oklahoma and active in the NPI registry since February 2010. The organization lists Tracy Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1093037046
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business Name415 MAIN LLC
Location Address10317 GREENBRIAR PKWYOklahoma City, OK 73159-7648
Mailing Address10317 Greenbriar PkwyOklahoma City, OK 73159-7648 · (405) 378-3400 · Fax (866) 323-7959
Phone(405) 378-3400
Fax(866) 323-7959
Organization SubpartNo
Authorized OfficialTracy EllisOwner · (405) 664-7622
Enumeration DateFebruary 18, 2010
Last NPPES UpdateDecember 11, 2017
✔ NPI 1093037046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3509
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.
10317 GREENBRIAR PKWY, Oklahoma City, OK 73159
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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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FULL LIFE HOSPICE, LLC
Hospice Care, Community Based
10317 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 355-0233
CT ASSOCIATES NO. 1, L.L.C.
Clinic/Center (Radiology)
10317 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 692-7226
COMPS MEDICAL
Clinic/Center (Radiology)
10317 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 703-4500
OKLAHOMA MEDICAL CLINIC LLC
Physical Medicine & Rehabilitation
10317 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 378-3400
TRACY ELLIS DC
Chiropractor
10317 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 378-3400
DIAGNOSTIC IMAGING SOLUTIONS
Clinic/Center (Radiology)
10317 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 703-4500
CENTRAL DIAGNOSTICS
Clinic/Center (Radiology)
10317 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 804-0547
EASTERN DIAGNOSTICS
Clinic/Center (Radiology)
10317 GREENBRIAR PKWY
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 703-4093

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 415 Main LLC's NPI number?

The NPI number for 415 Main LLC is 1093037046. It was assigned to this organization in the NPPES registry on February 18, 2010.

Where is 415 Main LLC located?

415 Main LLC is located at 10317 Greenbriar Pkwy, Oklahoma City, OK 73159. The listed phone number is (405) 378-3400.

What is 415 Main LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 415 Main LLC was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.