Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

415 Main LLC

Organization Chiropractor · NPI 1093037046

415 Main LLC is a Chiropractor in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10317 Greenbriar Pkwy
Oklahoma City, OK 73159-7648
Phone: (405) 378-3400
Fax: (866) 323-7959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3509 (OK)

Record details

NPI number1093037046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Ellis — Owner · (405) 664-7622
NPI enumeratedFebruary 18, 2010
Last updated in NPPESDecember 11, 2017
Mailing address10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648

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