Provider Demographics
NPI:1689482226
Name:OAKES, COLETON AUSTEN (DC)
Entity type:Individual
Prefix:DR
First Name:COLETON
Middle Name:AUSTEN
Last Name:OAKES
Suffix:
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 1:1944 S 94TH ST
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66111-3536
Mailing Address - Country:US
Mailing Address - Phone:913-449-5187
Mailing Address - Fax:
Practice Address - Street 1:7901 N OWASSO EXPY
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-3333
Practice Address - Country:US
Practice Address - Phone:918-272-9553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty