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

Dr. Samuel Diskerud

Individual provider Chiropractor · NPI 1689459208

Dr. Samuel Diskerud is a Chiropractic in Broken Arrow, Oklahoma. Graduated from Logan College of Chiropractic in 2023, 3 years ago. Practices with Dr John K. Whitham, PC, a 2-clinician group. Licensed in Oklahoma.

Years since qualifying
3
Trained at
Logan College of Chiropractic
Licensed in
OK
In the registry since
2023

Practice location Address checks out

900 W Kenosha St
Broken Arrow, OK 74012-8917
Phone: (918) 251-8889
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4565 (OK)

Record details

NPI number1689459208
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address900 W Kenosha St, Broken Arrow, OK 74012-8917

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2023 (3 years in practice)
Group practice Dr. John K. Whitham, Pc — 2 clinicians
Accepts Medicare assignment Not indicated

Other providers in Broken Arrow