Active NPI
Thrive Chiropractic Group 3 LLC
- Chiropractor
- Edmond, OK
National Provider Identifier
1154948073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- THRIVE CHIROPRACTIC GROUP 3 LLC
- Practice address
- 1201 NW 178TH St Ste 119
Edmond, OK 73012-4280 - Phone
- (405) 604-5295
- Fax
- (405) 604-5297
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Tyler Pertree
- Title
- Owner
- Phone
- (405) 604-5295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1201 NW 178TH St Ste 119
Edmond, OK 73012-4280
Mailing address
8013 S Western Ave Ste a
Oklahoma City, OK 73139-2537
Phone (405) 604-5295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Edmond, OK
- NPI 1578086237
-
- Chiropractor
- Moore, OK
- NPI 1083093678
-
- Chiropractor
- Moore, OK
- NPI 1902827066
-
- Chiropractor
- Oklahoma City, OK
- NPI 1093196768
-
- Chiropractor
- Jackson, TN
- NPI 1760422851
-
- Chiropractor
- Edmond, OK
- NPI 1790006690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1154948073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8013 S WESTERN AVE STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731392537",
"telephone_number": "405-604-5295",
"fax_number": "405-604-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW 178TH ST STE 119",
"city": "EDMOND",
"state": "OK",
"postal_code": "730124280",
"telephone_number": "405-604-5295",
"fax_number": "405-604-5297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE CHIROPRACTIC GROUP 3 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "PERTREE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "TYLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-604-5295"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.