SKIATOOK MEDICAL LLC
NPI 1881887214
Chiropractor in Skiatook, OK
About Skiatook Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKIATOOK MEDICAL LLC (NPI 1881887214) is a healthcare organization registered as a chiropractor in Skiatook, Oklahoma and active in the NPI registry since August 2007. The organization lists Robert Lee Johnson, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Skiatook Medical 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 Skiatook Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Skiatook Medical LLC's NPI number?
The NPI number for Skiatook Medical LLC is 1881887214. It was assigned to this organization in the NPPES registry on August 20, 2007.
Where is Skiatook Medical LLC located?
Skiatook Medical LLC is located at 203 S Hominy Ave, Skiatook, OK 74070. The listed phone number is (918) 396-9000.
What is Skiatook Medical LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Skiatook Medical LLC enrolled in Medicare?
Yes. Skiatook Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Skiatook Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Skiatook Medical 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 Skiatook Medical LLC was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Skiatook Medical Llc · NPI 1881887214
Chiropractor organization in Skiatook, Oklahoma. Organization record, active in the CMS NPPES registry since August 20, 2007.
## Identity
- **NPI:** 1881887214 (Entity type: Organization)
- **Enumerated:** August 20, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Robert Johnson, MANAGER
## Practice location
- **Address:** 203 S HOMINY AVE, Skiatook, OK 74070-3975
- **Phone:** (918) 396-9000 · **Fax:** (918) 396-0119
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2007
- **Other identifiers:** Medicare UPIN T33004 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1881887214) · Data from the CMS NPPES public registry.