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Spine Transformation LLC

Orthopaedic Surgery of the Spine Physician in Ardmore, OK · enumerated 2008 · authorized official Dereck Peery, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215192265

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Registry record

Entity type Organization (Type 2)
Legal business name Spine Transformation LLC
Practice address 915 10th Ave Nw, Ardmore, OK, 73401
Phone (580) 223-7200
Fax (580) 223-7207
Enumeration date Jul 18, 2008
Last updated in NPPES Nov 10, 2010

Taxonomy & classification

207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians · License 4546 (OK) Primary

Authorized official

Name Dereck Peery
Title President/Owner
Phone (580) 223-7200

Other identifiers

Identifier Type State Issuer
200204540A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Spine Transformation LLC?
Spine Transformation LLC is registered in NPPES as a Orthopaedic Surgery of the Spine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-10.