Active NPI
Christopher R Perron, D.C.
- Chiropractor
- Reston, VA
National Provider Identifier
1023025467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104 555576
- Practice address
- 11715 Bowman Green Dr
Reston, VA 20190-3507 - Phone
- (703) 689-2300
- Fax
- (703) 689-0234
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104 555576 | VA | Primary |
Addresses
Primary practice location
11715 Bowman Green Dr
Reston, VA 20190-3507
Mailing address
12619 Hay Meadow PL
Oak Hill, VA 20171-2231
Phone (703) 390-9140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257135 | Other | VA | ANTHEM BCBS PROVIDER # |
| 7715149 | Other | VA | AETNA PPO PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11715 Bowman Green Dr
Lowr
Reston, VA 20190-3568
Phone (703) 689-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104 555576 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowman and Associates LLC | Chiropractor | Current | Accepting new patients |
Locations
11715 Bowman Green Dr
Lowr
Reston, VA 20190
Phone (703) 689-2300
11715 Bowman Green Dr
Reston, VA 20190
Phone (505) 259-0146
Organizations & group practices 1
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": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023025467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12619 HAY MEADOW PL",
"city": "OAK HILL",
"state": "VA",
"postal_code": "201712231",
"telephone_number": "703-390-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11715 BOWMAN GREEN DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201903507",
"telephone_number": "703-689-2300",
"fax_number": "703-689-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRON",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104 555576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PROVIDER #",
"identifier": "257135",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO PROVIDER #",
"identifier": "7715149",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.