Organization Active NPI

Purcell Chiropractic PC

  • Chiropractor
  • Purcell, OK
National Provider Identifier
1215059464
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3656 Issued in OK
Legal business name
PURCELL CHIROPRACTIC PC
Practice address
1205 N Green Ave
Purcell, OK 73080
Phone
(405) 527-3323
Fax
(405) 527-4595
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Dr. Aaron David Perkins, DCNPI 1982005088
Title
Owner/Chiropractor
Phone
(405) 527-3323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3656 OK Primary

Addresses

Primary practice location

1205 N Green Ave
Purcell, OK 73080

Mailing address

PO Box 627
Purcell, OK 73080-0627
Phone (405) 527-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070417000217 OK Part B Supplier - Clinic/Group Practice 8820193097 Receives reassigned benefits from 1 practitioner
Practice locations: Purcell, OK

National Provider Directory

National Provider Directory

Locations

1205 N Green Ave
Purcell, OK 73080
Phone (405) 527-3323

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1215059464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730800627",
            "telephone_number": "405-527-3323",
            "fax_number": "405-527-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N GREEN AVE",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "73080",
            "telephone_number": "405-527-3323",
            "fax_number": "405-527-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCELL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "405-527-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.