Provider Demographics
NPI:1346221850
Name:CHIAF, JOHN D JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:CHIAF
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7236 NW EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-1543
Mailing Address - Country:US
Mailing Address - Phone:405-721-1101
Mailing Address - Fax:405-722-1029
Practice Address - Street 1:7236 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-1543
Practice Address - Country:US
Practice Address - Phone:405-721-1101
Practice Address - Fax:405-722-1029
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2384111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U50455Medicare UPIN
800522199Medicare ID - Type Unspecified