Peace Chiropractic Clinic, P.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3461 Issued in OK

Legal business name

PEACE CHIROPRACTIC CLINIC, P.C.

Practice address

4134 S Harvard Ave
Ste B2
Tulsa, OK 74135-2628

Phone

(917) 747-2717

Fax

(918) 747-2718

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert P Peace, D.C.NPI 1962509810

Title

Chiropractor

Phone

(918) 747-2717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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

• Robert P Peace, D.C.

  • Sports Physician Chiropractor
  • Tulsa, OK
  • NPI 1962509810
  Medicare reassignment NPD Authorized official
• Marcia Lynn Gran, D.C.

  • Chiropractor
  • Tulsa, OK
  • NPI 1629107701
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1164615407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 S HARVARD AVE STE B2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352613",
            "telephone_number": "917-747-2717",
            "fax_number": "918-747-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 S HARVARD AVE",
            "address_2": "STE B2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352628",
            "telephone_number": "917-747-2717",
            "fax_number": "918-747-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-747-2717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OK",
            "license": "3461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Paz, MS, RD, LD
• Pba Wellness,LLC
• Pcfit LLC (Innovations Lactation and Breastfeeding Services)
• Pdi Health Ok LLC
• Pdi Health Ok LLC
• Robert P Peace, D.C.
• Anna Adele Peacock, PA
• Peak Counseling LLC
• Peak Medical Oklahoma No. 5, Inc. (Woodland View Care and Rehabilitation Center)
• Daphnie Peak, APRN-CNP

• Sports Physician Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Sports Physician Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.

Verify at the official NPI Registry.