NPIMap

Organization Active NPI

100 Chiro Lewis Peck LLC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1316717655
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 CHIRO LEWIS PECK LLC
Practice address
13100 N Penn Ave Ste C
Oklahoma City, OK 73120
Phone
(405) 760-9914
NPI assigned
Jan 8, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Heather Peck
Title
Franchisee
Phone
(405) 760-9914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

13100 N Penn Ave Ste C
Oklahoma City, OK 73120

Mailing address

13100 N Penn Ave Ste C
Oklahoma City, OK 73120

National Provider Directory

National Provider Directory

Locations

13100 N Pennsylvania Ave
Ste C
Oklahoma City, OK 73120
Phone (405) 760-9914

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1316717655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 N PENN AVE STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 N PENN AVE STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-760-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO LEWIS PECK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "FRANCHISEE",
        "authorized_official_telephone_number": "405-760-9914"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

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