DR. JACOB DUVALL (DC) – Chiropractor, NPI 1235663592

DR. JACOB DUVALL (DC) is a healthcare provider. based in Tulsa, Oklahoma. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 4246 (OK). The NPI Number for DR. JACOB DUVALL (DC) is 1235663592

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB DUVALL (DC)
NPI
1235663592
Phone
(918) 984-1564
Address
7891 E 108TH ST
Enumeration Date
13 April 2017
Last Update Date
13 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9189841564
Graduation Year
2016 (10 years ago)
PAC ID
1658649389
Group Practice PAC ID
0749558476
Professional Enrollment ID
I20170621000665
Address ID
OK741337405TU7891XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

498 CHIROPRACTIC in OK

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Provider Addresses for DR. JACOB DUVALL (DC)

  • East 108th Street, Forest Trails, Tulsa, Tulsa County, Oklahoma, 74133:74137, United States

    SUITE 16

    TULSA, OK 741337405

    Phone: (918) 984-1564

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170621000665IChiropracticOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749558476View full group profile
NameSpecialtyState
C H I R O P R A C T I COK

Reviews

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Frequently asked questions

Is DR. JACOB DUVALL (DC) listed with a National Provider Identifier?
Yes — DR. JACOB DUVALL (DC) has NPI 1235663592 on file in the registry.
Is DR. JACOB DUVALL (DC) shown as active in public data?
Registry records indicate DR. JACOB DUVALL (DC) maintains an active NPI.
What kind of doctor is DR. JACOB DUVALL (DC)?
DR. JACOB DUVALL (DC) is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JACOB DUVALL (DC)?
Directory geography for DR. JACOB DUVALL (DC) centers on Tulsa, Oklahoma.
When was this NPI issued?
Enumeration for DR. JACOB DUVALL (DC) is noted as April 13, 2017 where the registry provides it.

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Unknown Individual

Chiropractor
South Harvard Avenue, Tulsa, Oklahoma, 74137, United States
NPI: 1689668147