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WAYBACK CHIROPRACTIC
NPI 1902747207
Clinic/Center - Health Service in Broken Arrow, OK

Active since April 02, 2026
2432 W NEW ORLEANS ST, BROKEN ARROW, OK 74011(918) 938-1330 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wayback Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYBACK CHIROPRACTIC (NPI 1902747207) is a healthcare organization registered as a health service in Broken Arrow, Oklahoma and active in the NPI registry since April 2026. The organization lists Max Gondolfo, Owner, as its authorized official.

NPPES Registry Identity

NPI1902747207
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameWAYBACK CHIROPRACTIC
Location Address2432 W NEW ORLEANS STBroken Arrow, OK 74011-1590
Mailing Address6105 W Birmingham CirBroken Arrow, OK 74011-1478
Phone(918) 938-1330
Organization SubpartNo
Authorized OfficialMax GondolfoOwner · (302) 650-2831
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1902747207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
2432 W NEW ORLEANS ST, Broken Arrow, OK 74011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayback Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wayback Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Max Gondolfo, DC
Chiropractic
NPI 1326989658
2432 W NEW ORLEANS ST
Broken Arrow, OK 74011
(918) 938-1330
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Patient Reviews User submitted 3

Reviews are submitted by site visitors and approved by a human moderator before publication.

5.0based on 3 reviews

Review by Cait ***** May 28, 2026

5/5
Dr Max is very professional, kind, and attentive to all of your aches and pains. He listens carefully and will do whatever it takes to address the root cause of your problems. A rare find in today’s medical community!
Provider 5/5 Office Staff 5/5

Review by Cait ***** May 27, 2026

5/5
Dr Max is very professional, kind, and attentive to all of your aches and pains. He listens carefully and will do whatever it takes to address the root cause of your problems. A rare find in today’s medical community!
Provider 5/5 Office Staff 5/5

Review by Michael ***** May 27, 2026

5/5
Dr Max is very respectful, professional, and knowledgeable. My back immediately felt relief after my appointment!
Provider 5/5 Office Staff 5/5
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayback Chiropractic's NPI number?

The NPI number for Wayback Chiropractic is 1902747207. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Wayback Chiropractic located?

Wayback Chiropractic is located at 2432 W New Orleans St, Broken Arrow, OK 74011. The listed phone number is (918) 938-1330.

What is Wayback Chiropractic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Wayback Chiropractic enrolled in Medicare?

Yes. Wayback Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wayback Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wayback Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wayback Chiropractic accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Wayback Chiropractic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayback Chiropractic was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.