NPIMap

Individual provider Active NPI

Alasdair Andrew Perry, DC

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1003010935
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009445 Issued in PA
Practice address
10014 Sandmeyer LN
Philadelphia, PA 19116-3502
Phone
(215) 969-3752
Fax
(215) 676-5779
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009445 PA Primary

Addresses

Primary practice location

10014 Sandmeyer LN
Philadelphia, PA 19116-3502

Mailing address

116 Somerset LN
Marlton, NJ 08053-4063
Phone (856) 357-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826000096 PA Practitioner - Chiropractic 5799166708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009445PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Chiropractic Clinic PC Chiropractor CurrentSince Apr 1, 2021 Accepting new patients
Haverford Comprehensive Wellness, P.C. Chiropractor PastSince May 24, 2022 Accepting new patients
Valley Wellness, P.C. PastSince Jun 1, 2022 Accepting new patients
Germantown Health and Wellness, P.C. Chiropractor PastSince May 24, 2022 Accepting new patients
Broad Wellness and Chiropractic Center, P.C. Chiropractor PastSince Mar 15, 2015 Accepting new patients
Northeast Health Center Chiropractor Past Accepting new patients

Locations

6529 Woodland Ave
Philadelphia, PA 19142
Phone (215) 322-6360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11128/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/16196/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/13517/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003010935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SOMERSET LN",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534063",
            "telephone_number": "856-357-6366",
            "fax_number": "215-569-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 SANDMEYER LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163502",
            "telephone_number": "215-969-3752",
            "fax_number": "215-676-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ALASDAIR",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.