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Dr. Russell Jeriah Prentice , DC

Chiropractor β€’ Jenks, OK

Active NPI 1518955947 Individual Practitioner Male Practitioner
Practice location in NPPES

9428 S Elwood Ave, Suite 102
Jenks, OK 740372317

Call 9182960525 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9428 S Elwood Ave
Suite 102

Jenks, OK 740372317

Telephone 9182960525
Fax 9182960526
Organization at the Same NPPES Address or Phone
Prentice Family Chiropractic Pllc Facility NPI 1104991280

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jenks and Oklahoma

11 active clinicians are listed under Chiropractor with a practice address in Jenks, OK (983 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jenks

0% of these 11 clinicians have the CMS telehealth indicator.

36.4% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES OK 3725

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Group Npi Prentice Family
1104991280

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1134101322

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 9428 S ELWOOD AVE, SUITE 102, JENKS, OK 740372317 (Tel: 9182960525)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 9428 S ELWOOD AVE, SUITE 102, JENKS, OK 740372317 (Tel: 9182960525)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as RUSSELL PRENTICE, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (license number reported to NPPES: OK 3725)

πŸ”„
NPI Profile Reactivated January 04, 2007

Record officially reactivated for active practice on January 04, 2007

⚠️
NPI Profile Deactivated December 29, 2006

NPPES lists this NPI as deactivated as of December 29, 2006; the reason is not published.

🟒
Initial NPI Registration & Enumeration October 10, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518955947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Other Chiropractors in Jenks

All Chiropractors in Jenks

Mailing Address

9428 S Elwood Ave, Suite 102

Jenks, OK 740372317

Phone: 9182960525

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.