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WILBURTON FAMILY CHIROPRACTIC
NPI 1114050374
Chiropractor in Wilburton, OK

Active since March 14, 2007
208 W MAIN ST, WILBURTON, OK 74578(918) 465-5661 Get Directions Write a Review

NPPES record last updated: February 16, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilburton Family Chiropractic NPPES

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

WILBURTON FAMILY CHIROPRACTIC (NPI 1114050374) is a healthcare organization registered as a chiropractor in Wilburton, Oklahoma and active in the NPI registry since March 2007. The organization lists Richard E Ingram, Owner, as its authorized official.

NPPES Registry Identity

NPI1114050374
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILBURTON FAMILY CHIROPRACTIC
Location Address208 W MAIN STWilburton, OK 74578-4046
Mailing Address208 W Main StWilburton, OK 74578-4046 · (918) 465-5661
Phone(918) 465-5661
Organization SubpartNo
Authorized OfficialRichard E IngramOwner · (918) 465-5661
Enumeration DateMarch 14, 2007
Last NPPES UpdateFebruary 16, 2009
✔ NPI 1114050374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3113
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.
208 W MAIN ST, Wilburton, OK 74578
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Other Identifiers 2

Medicare UPINU39869OK
Medicare PINOKB5388OK

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilburton Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20090205000138Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilburton Family Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Ingram, D.C.
Chiropractic
NPI 1801972476
208 W MAIN ST
Wilburton, OK 74578
(918) 465-5661
✔ Accepts Medicare0.3 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 Wilburton Family Chiropractic's NPI number?

The NPI number for Wilburton Family Chiropractic is 1114050374. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Wilburton Family Chiropractic located?

Wilburton Family Chiropractic is located at 208 W Main St, Wilburton, OK 74578. The listed phone number is (918) 465-5661.

What is Wilburton Family Chiropractic's specialty?

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

Is Wilburton Family Chiropractic enrolled in Medicare?

Yes. Wilburton Family Chiropractic is registered in the Medicare PECOS enrollment system.

When is Wilburton Family Chiropractic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wilburton Family Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wilburton Family Chiropractic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wilburton Family Chiropractic was last updated on February 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.