Red Canyon Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4091 Issued in OK

Legal business name

RED CANYON WELLNESS

Practice address

9999 South Mingo Rd., Ste. B
Tulsa, OK 74133-7413

Phone

(918) 994-4606

Fax

(918) 994-4607

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Matthew Peter Viejo, DCNPI 1093056178

Title

Chiropractor

Phone

(918) 994-4606

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Peter Viejo, D.C.

  • Chiropractor
  • Broken Arrow, OK
  • NPI 1093056178
  NPD (past) Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1104337005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 S MINGO RD STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335144",
            "telephone_number": "918-994-4606",
            "fax_number": "918-994-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 SOUTH MINGO RD., STE. B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337413",
            "telephone_number": "918-994-4606",
            "fax_number": "918-994-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CANYON WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "VIEJO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-994-4606",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corinna Redard, DPT
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• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.