Dr. Shannon Rutherford Martin , DC
Chiropractor • Tulsa, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shannon Martin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Shannon Martin, DC was a registered Chiropractor practicing in Tulsa, OK. Throughout an active medical career spanning 16 years, Dr. Martin provided care at the practice location at 427 S BOSTON AVE until profile deactivation on 2022-03-22.
Practice Location & Contact Primary Location
427 S Boston Ave
Suite 515
Tulsa, OK 741034141
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Tulsa, OK
Practicing in Tulsa, OK (1065 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 22, 2022
NPI status registered as active in NPPES database
Registered at 427 S BOSTON AVE, SUITE 515, TULSA, OK 741034141 (Tel: 9189353370)
Registered at 427 S BOSTON AVE, SUITE 515, TULSA, OK 741034141 (Tel: 9189353370)
Recorded as SHANNON MARTIN, D.C.
Chiropractor (License #3516 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
427 S Boston Ave, Suite 515
Tulsa, OK 741034141
Phone: 9189353370
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