GO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS
NPI 1740711951
Chiropractor in Ponca City, OK

Q: What is Go Lightly Chiropractic Revolution Wellness's specialty?

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

Active since March 21, 2017

205 E GRAND AVE, PONCA CITY, OK 74601(580) 382-4560(580) 382-4360 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 24, 2024, Mar 21, 2017 (2 updates tracked since 2017).

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About Go Lightly Chiropractic Revolution Wellness NPPES

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

GO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS (NPI 1740711951) is a healthcare organization registered as a chiropractor in Ponca City, Oklahoma and active in the NPI registry since March 2017. The organization lists Seth Charles Raye Miller, Chiropractic/owner, as its authorized official.

NPPES Registry Identity

NPI1740711951

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameGO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS

Location Address205 E GRAND AVEPonca City, OK 74601-4318

Mailing Address205 E Grand AvePonca City, OK 74601-4318 · (580) 382-4560

Phone(580) 382-4560

Fax(580) 382-4360

Organization SubpartNo

Authorized OfficialSeth Charles Raye MillerChiropractic/owner · (580) 382-4560

Enumeration DateMarch 21, 2017

Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1740711951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OK · 4211

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.

205 E GRAND AVE, Ponca City, OK 74601

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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)

Go Lightly Chiropractic Revolution Wellness 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 Go Lightly Chiropractic Revolution Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Seth Miller, D.C.

Chiropractic

NPI 1477931574

516 E HARTFORD AVE
Ponca City, OK 74601

(580) 762-1500

✔ Accepts Medicare1.4 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 Go Lightly Chiropractic Revolution Wellness's NPI number?

The NPI number for Go Lightly Chiropractic Revolution Wellness is 1740711951. It was assigned to this organization in the NPPES registry on March 21, 2017.

Where is Go Lightly Chiropractic Revolution Wellness located?

Go Lightly Chiropractic Revolution Wellness is located at 205 E Grand Ave, Ponca City, OK 74601. The listed phone number is (580) 382-4560.

What is Go Lightly Chiropractic Revolution Wellness's specialty?

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

Is Go Lightly Chiropractic Revolution Wellness enrolled in Medicare?

Yes. Go Lightly Chiropractic Revolution Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Go Lightly Chiropractic Revolution Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Go Lightly Chiropractic Revolution Wellness. 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 Go Lightly Chiropractic Revolution Wellness was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.