Organization Active NPI

Pauls Valley Chiropractic

  • Chiropractor
  • Pauls Valley, OK
National Provider Identifier
1417538893
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAULS VALLEY CHIROPRACTIC
Practice address
400 S Walnut St
Pauls Valley, OK 73075-3811
Phone
(405) 926-2033
Fax
(405) 926-2034
NPI assigned
Apr 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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/Chiropractic
Phone
(405) 926-2033

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 Primary

Addresses

Primary practice location

400 S Walnut St
Pauls Valley, OK 73075-3811

Mailing address

PO Box 1280
Pauls Valley, OK 73075-2080
Phone (405) 926-2033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211116000833 OK Part B Supplier - Clinic/Group Practice 7618366543 Receives reassigned benefits from 2 practitioners
Practice locations: Pauls Valley, OK

National Provider Directory

National Provider Directory

Locations

400 S Walnut St
Pauls Valley, OK 73075
Phone (405) 238-7502

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": "1618704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1417538893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730752080",
            "telephone_number": "405-926-2033",
            "fax_number": "405-926-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S WALNUT ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753811",
            "telephone_number": "405-926-2033",
            "fax_number": "405-926-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULS VALLEY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC",
        "authorized_official_telephone_number": "405-926-2033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.