Active NPI
Ermilo S. Duque, B.S., D.C., F.A.S.A.
- Chiropractor
- Edmond, OK
National Provider Identifier
1427078278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4033
- Practice address
- 165 W 15TH St
Edmond, OK 73013-3604 - Phone
- (405) 513-5894
- NPI assigned
- Jul 21, 2006
- Last updated
- Aug 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4033 | OK | Primary |
Addresses
Primary practice location
165 W 15TH St
Edmond, OK 73013-3604
Mailing address
165 W 15TH St
Edmond, OK 73013-3604
Phone (405) 513-5894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4033 | OK | MD | Physical Therapist |
| 5367 | CO | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Double DS Inc | Chiropractor | Past | Accepting new patients |
| Duque PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1427078278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 W 15TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133604",
"telephone_number": "405-513-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 W 15TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133604",
"telephone_number": "405-513-5894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUQUE",
"first_name": "ERMILO",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "B.S., D.C., F.A.S.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
- Laura L Dunning
- Madelyn Claire Duplantis, PHARMD
- Kailea Elizabeth Dupree
- Michelle Marie Dupuy, DPH
- Duque PLLC (Duque Chiropractic and Acupuncture)
- Casandra Duran-Zavala
- Mary Frances Elizabeth Durham-Nelson, M.ED.
- Casey Marie Dutchik, APRN-CNP
- Charles T Dutton Jr., M.S., LMFT
- Jessica Anne Dutton, MSN, RN, APRN-CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.