Organization Active NPI

Peery Chiropractic Clinic, PLLC

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1073781795
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3620 Issued in OK
Legal business name
PEERY CHIROPRACTIC CLINIC, PLLC
Practice address
6117 S Mingo Rd
Ste-C
Tulsa, OK 74133-6315
Phone
(918) 254-7779
Fax
(918) 254-7227
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark E Peery, D.C.
Title
President/Ceo
Phone
(918) 254-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3620 OK Primary

Addresses

Primary practice location

6117 S Mingo Rd
Ste-C
Tulsa, OK 74133-6315

Mailing address

6117 S Mingo Rd
Ste-C
Tulsa, OK 74133-6315
Phone (918) 254-7779

National Provider Directory

National Provider Directory

Locations

6117 S Mingo Rd
Ste C
Tulsa, OK 74133
Phone (918) 254-7779

6117 S Mingo Rd
Tulsa, OK 74133
Phone (918) 254-7779

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1073781795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 S MINGO RD",
            "address_2": "STE-C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336315",
            "telephone_number": "918-254-7779",
            "fax_number": "918-254-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 S MINGO RD",
            "address_2": "STE-C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336315",
            "telephone_number": "918-254-7779",
            "fax_number": "918-254-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEERY CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "PEERY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "918-254-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.