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MID-DEL CHIROPRACTIC LLC
NPI 1679853030
Chiropractor in Del City, OK

Active since August 17, 2011
5113 SE 15TH ST STE C, DEL CITY, OK 73115(405) 601-0700(405) 605-5776 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid-del Chiropractic Llc NPPES

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

MID-DEL CHIROPRACTIC LLC (NPI 1679853030) is a healthcare organization registered as a chiropractor in Del City, Oklahoma and active in the NPI registry since August 2011. The organization lists Dale Wayne Maynard, Owner, as its authorized official.

NPPES Registry Identity

NPI1679853030
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMID-DEL CHIROPRACTIC LLC
Location Address5113 SE 15TH ST STE CDel City, OK 73115-3952
Mailing Address5113 Se 15th St Ste CDel City, OK 73115-3952 · (405) 601-0700 · Fax (405) 605-5776
Phone(405) 601-0700
Fax(405) 605-5776
Organization SubpartNo
Authorized OfficialDale Wayne MaynardOwner · (405) 601-0700
Enumeration DateAugust 17, 2011
Last NPPES UpdateNovember 21, 2011
✔ NPI 1679853030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3752
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.
5113 SE 15TH ST STE C, Del City, OK 73115
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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)

Mid-del Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mid-Del Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dale Maynard, D.C.
Chiropractic
NPI 1376669986
5113 SE 15TH ST STE C
Del City, OK 73115
(405) 601-0700
✔ Accepts MedicareSame address

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 Mid-Del Chiropractic LLC's NPI number?

The NPI number for Mid-Del Chiropractic LLC is 1679853030. It was assigned to this organization in the NPPES registry on August 17, 2011.

Where is Mid-Del Chiropractic LLC located?

Mid-Del Chiropractic LLC is located at 5113 SE 15th St Ste C, Del City, OK 73115. The listed phone number is (405) 601-0700.

What is Mid-Del Chiropractic LLC's specialty?

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

Is Mid-Del Chiropractic LLC enrolled in Medicare?

Yes. Mid-Del Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Del Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Mid-Del Chiropractic LLC. 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 Mid-Del Chiropractic LLC was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.