Organization Active NPI

Perkins & Associates PA

  • Chiropractor
  • Homedale, ID
National Provider Identifier
1013905348
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Jan 15, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000816 ID Part B Supplier - Clinic/Group Practice 1557441045 Receives reassigned benefits from 1 practitioner
Practice locations: Homedale, ID

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.