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Deactivated NPI 1508299116 Deactivated / Inactive NPI Male Practitioner

Dr. Jonathan Ray Vestal , DC

Chiropractor • Yukon, OK

✓ Accepts Medicare Assignment
⚠️

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. Jonathan Vestal has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2013
NPI Deactivation Date May 22, 2018
Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Vestal, DC was a registered Chiropractor practicing in Yukon, OK. Throughout an active medical career spanning 5 years, Dr. Vestal provided care at the practice location at 1809 COMMONS CIR STE A until profile deactivation on 2018-05-22.

Dr. Vestal was affiliated with Family Wellness Chiropractic Pc and accepted Medicare assignment.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1809 Commons Cir Ste A

Yukon, OK 730999528

Telephone 4055776268
Fax 4055776371
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Yukon, OK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +0.3 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
30 Specialists

Practicing in Yukon, OK (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vestal (13 Years) 13 Yrs
Yukon Specialty Average (12.7 Years) 12.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
253 26 $74.15 $36.93

Medical Specialties & State Licenses

CMS Verified: 2020-11-05
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OK 4136

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License GA CHIR009298

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.

Hospital & Practice Group Affiliations

Family Wellness Chiropractic Pc

1809 Commons Cir, Yukon, OK 730999528

Phone: 4055776268

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1275712184

Doctor of Chiropractic

NPI 1457043952

Doctor of Chiropractic

NPI 1558693614

Doctor of Chiropractic

NPI 1649501479

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address November 05, 2020

Registered at 1809 COMMONS CIR, STE A, YUKON, OK 730999528 (Tel: 4055776268)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2020

Chiropractor (License #4136 in OK)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2020

Chiropractor (License #CHIR009298 in GA)

📍
Updated Practice Location June 14, 2018

Registered at 1809 COMMONS CIR STE A, YUKON, OK 730999528 (Tel: 4055776268)

📍
Updated Business Mailing Address June 14, 2018

Registered at 1809 COMMONS CIR STE A, YUKON, OK 730999528 (Tel: 4055776268)

👤
Provider Name / Credentials Updated June 14, 2018

Recorded as JONATHAN VESTAL, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2018

Chiropractor (License #4136 in OK)

⚠️
NPI Profile Deactivated May 22, 2018

Record deactivated on May 22, 2018

NPI Profile Active October 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2015

Registered at 1415 BARCLAY CIR SE, MARIETTA, GA 300602943 (Tel: 7704262829)

📍
Updated Business Mailing Address October 29, 2015

Registered at 1415 BARCLAY CIR SE, MARIETTA, GA 300602943 (Tel: 7704262829)

👤
Provider Name / Credentials Updated October 29, 2015

Recorded as JONATHAN VESTAL, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2015

Chiropractor (License #CHIR009298 in GA)

🟢
Initial NPI Registration & Enumeration August 19, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508299116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2013
Last Update: November 05, 2020
Deactivation Date: May 22, 2018
Sole Proprietor: Yes

Mailing Address

1809 Commons Cir, Ste A

Yukon, OK 730999528

Phone: 4055776268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.