NPIMap

Organization Active NPI

Complete Care Medical Group

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1487848305
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2496 Issued in OK
Legal business name
COMPLETE CARE MEDICAL GROUP
Practice address
9220 S Penn Ave Ste a
Oklahoma City, OK 73159-6909
Phone
(405) 691-2838
Fax
(405) 692-8807
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. James V Pertree, D.C.
Title
Clinic Director
Phone
(405) 691-2838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2496 OK Primary

Addresses

Primary practice location

9220 S Penn Ave Ste a
Oklahoma City, OK 73159-6909

Mailing address

9220 S Penn Ave Ste a
Oklahoma City, OK 73159-6909
Phone (405) 691-2838

Other identifiers 1

IdentifierTypeStateIssuer
260662270003OtherOKBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1487848305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 S PENN AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596909",
            "telephone_number": "405-691-2838",
            "fax_number": "405-692-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 S PENN AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596909",
            "telephone_number": "405-691-2838",
            "fax_number": "405-692-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "PERTREE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "405-691-2838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "260662270003",
            "state": "OK"
        }
    ],
    "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 Sep 4, 2007; 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.