TENKILLER FAMILY CHIROPRACITC
NPI 1770802456
Chiropractor in Vian, OK
About Tenkiller Family Chiropracitc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENKILLER FAMILY CHIROPRACITC (NPI 1770802456) is a healthcare organization registered as a chiropractor in Vian, Oklahoma and active in the NPI registry since May 2010. The organization lists Kenneth Pack, Doctor Of Chiropractic, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tenkiller Family Chiropracitc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tenkiller Family Chiropracitc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Tenkiller Family Chiropracitc's NPI number?
The NPI number for Tenkiller Family Chiropracitc is 1770802456. It was assigned to this organization in the NPPES registry on May 20, 2010.
Where is Tenkiller Family Chiropracitc located?
Tenkiller Family Chiropracitc is located at 512 S. Thornton Street, Vian, OK 74962. The listed phone number is (918) 773-3025.
What is Tenkiller Family Chiropracitc's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tenkiller Family Chiropracitc enrolled in Medicare?
Yes. Tenkiller Family Chiropracitc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tenkiller Family Chiropracitc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Tenkiller Family Chiropracitc. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tenkiller Family Chiropracitc was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Tenkiller Family Chiropracitc · NPI 1770802456
Chiropractor organization in Vian, Oklahoma. Organization record, active in the CMS NPPES registry since May 20, 2010.
## Identity
- **NPI:** 1770802456 (Entity type: Organization)
- **Enumerated:** May 20, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Pack, DOCTOR OF CHIROPRACTIC
## Practice location
- **Address:** 512 S. THORNTON STREET, Vian, OK 74962
- **Phone:** (918) 773-3025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1770802456) · Data from the CMS NPPES public registry.