RUSSELL JERIAH PRENTICE DC NPI 1518955947

NPI Information

  • NPI: 1518955947
  • Provider Name: RUSSELL JERIAH PRENTICE, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 9428 S ELWOOD AVE
    SUITE 102
    JENKS, OK
    ZIP 74037
  • Phone: (918) 296-0525

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NPI Details

Russell Jeriah Prentice, DC is a chiropractor in Jenks, OK. The provider is 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. Russell Jeriah Prentice, DC NPI is 1518955947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9428 S ELWOOD AVE
SUITE 102
JENKS, OK
ZIP 74037-317
Phone: (918) 296-0525
Fax: (918) 296-0526

The enumeration date for this NPI number is 10/10/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3725OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11104991280OTHERGROUP NPI PRENTICE FAMILY
2V03642MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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