Active NPI
Garland Perry
- Medicare Defined Swing Bed Hospital Unit
- Keizer, OR
National Provider Identifier
1063857217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Practice address
- 5985 Trail Ave NE
Apt 202
Keizer, OR 97303-7567 - Phone
- (804) 605-4999
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Primary |
Addresses
Primary practice location
5985 Trail Ave NE
Apt 202
Keizer, OR 97303-7567
Mailing address
5895 NE Trail Ave
Apt 202
Keizer, OR 97303
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1063857217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5895 NE TRAIL AVE",
"address_2": "APT 202",
"city": "KEIZER",
"state": "OR",
"postal_code": "97303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5985 TRAIL AVE NE",
"address_2": "APT 202",
"city": "KEIZER",
"state": "OR",
"postal_code": "973037567",
"telephone_number": "804-605-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "GARLAND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.