Provider Demographics
NPI:1083728307
Name:NORRIS, DANNY RAY (DC)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:RAY
Last Name:NORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:14100 PARKWAY COMMONS DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6103
Mailing Address - Country:US
Mailing Address - Phone:405-607-6832
Mailing Address - Fax:405-607-6837
Practice Address - Street 1:6205 N SANTA FE AVE
Practice Address - Street 2:#110
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-7537
Practice Address - Country:US
Practice Address - Phone:405-419-5451
Practice Address - Fax:405-419-5456
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2014-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKT79989Medicare UPIN