Active NPI
Perigon Early Alzheimer'S & Brain Treatment Center
- Infusion Therapy Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1831877190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.