Healthcare Provider Details

I. General information

NPI: 1922872670
Provider Name (Legal Business Name): OASIS CHIROPRACTIC & LASER CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 07/30/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 NORTH MAIN STREET
RED OAK OK
74563
US

IV. Provider business mailing address

12150 NE 155TH RD
RED OAK OK
74563-5124
US

V. Phone/Fax

Practice location:
  • Phone: 918-448-6054
  • Fax:
Mailing address:
  • Phone: 918-448-6054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY JOSHUA NIX
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 918-385-2448