Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

415 Main LLC

Organization Chiropractor · NPI 1093037046

415 Main LLC provides Chiropractor services 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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