NPIMap

Organization Active NPI

Peak Wellness Center, Inc.

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1932618592
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PEAK WELLNESS CENTER, INC.
Practice address
510 W 29TH St
Cheyenne, WY 82001-2760
Phone
(307) 632-9362
NPI assigned
Sep 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Robert Mathias Kaiser
Title
HR Director
Phone
(307) 632-9362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

510 W 29TH St
Cheyenne, WY 82001-2760

Mailing address

510 W 29TH St
Cheyenne, WY 82001-2760
Phone (307) 632-9362

National Provider Directory

National Provider Directory

Locations

1609 E 19th St
Cheyenne, WY 82001
Phone (307) 632-9362

604 E 25th St
Cheyenne, WY 82001
Phone (307) 637-3953

710 E Garfield St
Ste 320
Laramie, WY 82070
Phone (307) 322-3190

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932618592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 29TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012760",
            "telephone_number": "307-632-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 29TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012760",
            "telephone_number": "307-632-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MATHIAS",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "307-632-9362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.