=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720965395
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEXT LEVEL CHIROPRACTIC AND WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2025
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 S CASTLEROCK LN
-----------------------------------------------------
City | MUSTANG
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73064-4583
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-978-9575
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 516 2ND ST NW
-----------------------------------------------------
City | PIEDMONT
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73078-8013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-978-9575
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. DUSTIN M YORK
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 405-306-8299
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------