Individual provider Active NPI

Caleb Ryan Perry, D.C.

  • Chiropractor
  • Huntington, WV
National Provider Identifier
1093184962
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
990 Issued in WV
Practice address
651 Washington Ave
Huntington, WV 25701-1041
Phone
(304) 522-7323
Fax
(304) 529-7684
NPI assigned
Sep 21, 2015
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 990 WV Primary

Addresses

Primary practice location

651 Washington Ave
Huntington, WV 25701-1041

Mailing address

651 Washington Ave
Huntington, WV 25701-1041
Phone (304) 522-7323

Other practice location 1

306 Commerce Dr Ste 100
Louisa, KY 41230-5064
Phone (304) 522-7323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616002465 WV Practitioner - Chiropractic 1456642792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larry D Perry DC Chiropractic CorporationGroup PAC ID 3577625862, 2 clinicians

Practice addresses (Care Compare)

651 Washington Ave
Huntington, WV 25701-1041
Phone (304) 522-7323

651 Washington Ave
Huntington, WV 25701-9998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
990WVMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1093184962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011041",
            "telephone_number": "304-522-7323",
            "fax_number": "304-529-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WASHINGTON AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011041",
            "telephone_number": "304-522-7323",
            "fax_number": "304-529-7684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Commerce Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412305064",
            "country_code": "US",
            "telephone_number": "304-522-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CALEB",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.

Verify at the official NPI Registry.