Organization Active NPI

Duque PLLC

Doing business as Duque Chiropractic and Acupuncture

  • Point of Service
  • Edmond, OK
National Provider Identifier
1841627478
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
4033 Issued in OK
Legal business name
DUQUE PLLC
Doing business as
Duque Chiropractic and Acupuncture
Practice address
165 W 15TH St
Edmond, OK 73013-3604
Phone
(405) 513-5894
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Dr. Ermilo S Duque, DCNPI 1427078278
Title
President
Phone
(405) 513-5894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 4033 OK Primary

Addresses

Primary practice location

165 W 15TH St
Edmond, OK 73013-3604

Mailing address

165 W 15TH St
Edmond, OK 73013-3604

Other names 1

  • Duque Chiropractic and Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

165 W 15th St
Edmond, OK 73013
Phone (405) 513-5894

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1841627478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133604",
            "telephone_number": "405-513-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUQUE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "ERMILO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-513-5894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OK",
            "license": "4033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duque Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2013; 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.