Individual provider Active NPI

Theodore Edward Perih, DC

  • Chiropractor
  • Falls Church, VA
National Provider Identifier
1013026137
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000477 Issued in VA
Practice address
803 West Broad St
Suite 240
Falls Church, VA 22046-3108
Phone
(703) 533-7707
Fax
(703) 237-2839
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000477 VA Primary

Addresses

Primary practice location

803 West Broad St
Suite 240
Falls Church, VA 22046-3108

Mailing address

803 West Broad Street
Suite 240
Falls Church, VA 22046-3108
Phone (703) 533-7707

Other identifiers 1

IdentifierTypeStateIssuer
017403OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1013026137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 WEST BROAD STREET",
            "address_2": "SUITE 240",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463108",
            "telephone_number": "703-533-7707",
            "fax_number": "703-237-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 WEST BROAD ST",
            "address_2": "SUITE 240",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463108",
            "telephone_number": "703-533-7707",
            "fax_number": "703-237-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIH",
        "first_name": "THEODORE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "017403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.