Active NPI
Peak Movement Centre, PLLC
- Chiropractor
- Edmond, OK
National Provider Identifier
1811459191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PEAK MOVEMENT CENTRE, PLLC
- Practice address
- 13816 Santa Fe Crossing Dr
Edmond, OK 73013 - Phone
- (405) 252-0282
- NPI assigned
- Apr 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew O'Bannon, DC
- Title
- Manager
- Phone
- (405) 315-7029
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
13816 Santa Fe Crossing Dr
Edmond, OK 73013
Mailing address
2424 Crossing Dr
Edmond, OK 73013-6959
National Provider Directory
National Provider DirectoryLocations
13816 Santa Fe Crossings Dr
Edmond, OK 73013
Phone (405) 252-0282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554681600000",
"number": "1811459191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 CROSSING DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13816 SANTA FE CROSSING DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-252-0282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK MOVEMENT CENTRE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-08",
"status": "A",
"authorized_official_last_name": "O'BANNON",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "405-315-7029",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.