Provider Demographics
NPI:1093698599
Name:J CALAHAN MAYNARD DC PLLC
Entity type:Organization
Organization Name:J CALAHAN MAYNARD DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CALAHAN
Authorized Official - Last Name:MAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-231-4464
Mailing Address - Street 1:18405 S 4190 RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-5366
Mailing Address - Country:US
Mailing Address - Phone:918-231-4464
Mailing Address - Fax:
Practice Address - Street 1:201 S OWALLA AVE
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-5413
Practice Address - Country:US
Practice Address - Phone:918-505-2640
Practice Address - Fax:918-505-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty