NPIMap

Organization Active NPI

Peak Wellness Center, Inc.

  • Family Medicine Physician
  • Laramie, WY
National Provider Identifier
1144739814
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PEAK WELLNESS CENTER, INC.
Practice address
1263 N 15TH St
Laramie, WY 82072-2343
Phone
(307) 745-8915
NPI assigned
Sep 26, 2017
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Robert Mathias Kaiser
Title
HR Director
Phone
(307) 632-9362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1263 N 15TH St
Laramie, WY 82072-2343

Mailing address

510 W 29TH St
Cheyenne, WY 82001-2760
Phone (307) 632-9362

National Provider Directory

National Provider Directory
Tax ID family
Peak Wellness Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1144739814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 29TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012760",
            "telephone_number": "307-632-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 N 15TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722343",
            "telephone_number": "307-745-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MATHIAS",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "307-632-9362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.