Active NPI
Perkins & Associates PA
- Chiropractor
- Homedale, ID
National Provider Identifier
1013905348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PERKINS & ASSOCIATES PA
- Practice address
- 111 S Main St
Homedale, ID 83628-3421 - Phone
- (208) 337-4900
- Fax
- (208) 337-3736
- NPI assigned
- Oct 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- J Edward Perkins Jr., DC
- Title
- President
- Phone
- (208) 337-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
111 S Main St
Homedale, ID 83628-3421
Mailing address
111 S Main St
PO Box 335
Homedale, ID 83628-3421
Phone (208) 337-4900
Other names 1
- Homedale Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080109000816 | ID | Part B Supplier - Clinic/Group Practice | 1557441045 |
Receives reassigned benefits from 1 practitioner Practice locations: Homedale, ID |
National Provider Directory
National Provider DirectoryLocations
111 S Main St
Homedale, ID 83628
Phone (208) 337-4900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Homedale, ID
- NPI 1831188754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1013905348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S MAIN ST",
"address_2": "PO BOX 335",
"city": "HOMEDALE",
"state": "ID",
"postal_code": "836283421",
"telephone_number": "208-337-4900",
"fax_number": "208-337-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S MAIN ST",
"city": "HOMEDALE",
"state": "ID",
"postal_code": "836283421",
"telephone_number": "208-337-4900",
"fax_number": "208-337-3736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERKINS & ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-11",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-337-4900",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Homedale Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Homedale, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.