Perigon Alzheimers LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

PERIGON ALZHEIMERS LLC

Practice address

10914 Hefner Pointe Dr Ste 102
Oklahoma City, OK 73120-5066

Phone

(405) 877-4047

Fax

(800) 420-1356

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Derek Prentice

Title

Owner

Phone

(405) 650-4786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1164292629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18484",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731540484",
            "telephone_number": "405-418-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10914 HEFNER POINTE DR STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205066",
            "telephone_number": "405-877-4047",
            "fax_number": "800-420-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIGON ALZHEIMERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-650-4786"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Therapy of Oklahoma, LLC
• Performax Therapy Services
• Perfusion Alliance LLC
• Susan Marie Perham, OTA/L
• Jaime Peri
• Perigon Early Alzheimer'S & Brain Treatment Center
• Perigon Imaging LLC
• Perigon Prostate Center LLC
• Kristin Lynn Perkey, APRN-CNP
• Abigail Perkins

• Infusion Therapy Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Infusion Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.