Wayback Chiropractic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WAYBACK CHIROPRACTIC

Practice address

2432 W New Orleans St
Broken Arrow, OK 74011-1590

Phone

(918) 938-1330

NPI assigned

Apr 2, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Max Gondolfo, DCNPI 1326989658

Title

Owner

Phone

(302) 650-2831

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Max Giovanni Gondolfo, DC

  • Chiropractor
  • Broken Arrow, OK
  • NPI 1326989658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1902747207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 W BIRMINGHAM CIR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W NEW ORLEANS ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111590",
            "telephone_number": "918-938-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYBACK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "GONDOLFO",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-650-2831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Harris Washington, OTL
• Kenneth Wayne Waters, PT, MBA
• Nicole Watkins
• Stephanie Watkins
• Catherine Watson
• Kristen Wayman
• Dana Marie Weatherford, P.A.
• Thomas Oscar Webber Sr.
• Sarah M. Weber
• Cynthia Kay Webster, RN

• Health Service Clinic/Center in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Health Service Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.