Organization Active NPI

Peters Chiropractic, PLLC

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1740578285
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4023 Issued in OK
Legal business name
PETERS CHIROPRACTIC, PLLC
Practice address
1704 S Boulevard
Suite B
Edmond, OK 73013
Phone
(405) 285-6418
Fax
(405) 385-6419
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Rance Edward Peters, D.C.
Title
Manager Member
Phone
(405) 285-6418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4023 OK Primary

Addresses

Primary practice location

1704 S Boulevard
Suite B
Edmond, OK 73013

Mailing address

1704 S Boulevard
Suite B
Edmond, OK 73013
Phone (405) 285-6418

National Provider Directory

National Provider Directory

Locations

1704 S Boulevard
#B
Edmond, OK 73013
Phone (405) 285-6418

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1740578285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 S BOULEVARD",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-285-6418",
            "fax_number": "405-385-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 S BOULEVARD",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-285-6418",
            "fax_number": "405-385-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RANCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "405-285-6418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.