Organization Active NPI

Perigon Early Alzheimer'S & Brain Treatment Center

  • Infusion Therapy Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1831877190
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
PERIGON EARLY ALZHEIMER'S & BRAIN TREATMENT CENTER
Practice address
5600 N May Ave Ste 100
Oklahoma City, OK 73112-4275
Phone
(405) 418-2200
Fax
(405) 418-2901
NPI assigned
Jul 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Mr. Derek Prentice
Title
Owner
Phone
(405) 418-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

5600 N May Ave Ste 100
Oklahoma City, OK 73112-4275

Mailing address

5600 N May Ave Ste 100
Oklahoma City, OK 73112-4275
Phone (405) 418-2200

National Provider Directory

National Provider Directory

Locations

5600 N May Ave
Ste 100
Oklahoma City, OK 73112
Phone (405) 418-2900

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1831877190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 N MAY AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124275",
            "telephone_number": "405-418-2200",
            "fax_number": "405-418-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 N MAY AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124275",
            "telephone_number": "405-418-2200",
            "fax_number": "405-418-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIGON EARLY ALZHEIMER'S & BRAIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-418-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 17, 2023; 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.