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Active NPI 1831465194 Organization (Entity Type 2)

Derek Makescry Llc

Clinic/Center • Clinton, OK

Public Directory Information & Medical Disclaimer

This facility profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or healthcare referrals. Always consult a qualified medical professional for health queries.

About Derek Makescry Llc NPI 1831465194 Summary

Derek Makescry Llc is a verified healthcare organization specializing in Clinic/Center operating in Clinton, OK. Located at 119 N 9TH ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1831465194.

Administrative operations and authorized compliance are overseen by Derek Makescry (Sole Member).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

119 N 9th St

Clinton, OK 736013309

Telephone 5803234250
Fax 5803234251

Authorized Official Information

Authorized Contact Name

DR. Derek Makescry , D.C.

Title / Role

Sole Member

Official Telephone

5803234250

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Chiropractor

Clinton, OK

View Practitioner Profile →

Chiropractor

Clinton, OK

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active May 29, 2012

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2012

Registered at 119 N 9TH ST, CLINTON, OK 736013309 (Tel: 5803234250)

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Updated Business Mailing Address May 29, 2012

Registered at 119 N 9TH ST, CLINTON, OK 736013309 (Tel: 5803234250)

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Organization / Clinic Name Updated May 29, 2012

Operating as DEREK MAKESCRY LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2012

Clinic/Center (License #4066 in OK)

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Initial NPI Registration & Enumeration March 30, 2012

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1831465194
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 30, 2012
Last Update: May 29, 2012

Mailing Address

119 N 9th St

Clinton, OK 736013309

Phone: 5803234250

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.