OrganizationActive
415 Main LLC
NPI 1093037046 · Chiropractor · Oklahoma City, OK
Provider details
- NPI number
- 1093037046
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Tracy Ellis, Owner(405) 664-7622
- License
- 3509 (OK)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10317 Greenbriar Pkwy
Oklahoma City, OK 73159-7648
Phone: (405) 378-3400
Fax: (866) 323-7959
Street-level locationGet directions
Mailing address
10317 Greenbriar Pkwy
Oklahoma City, OK 73159-7648
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2017-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.