Individual provider Active NPI

Carron Perry, D.C.

  • Orthopedic Chiropractor
  • Maplewood, MN
National Provider Identifier
1114076221
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
4080 Issued in MN
Practice address
2785 White Bear Ave N Ste 107
Maplewood, MN 55109-1320
Phone
(651) 398-0243
Fax
(651) 560-3911
NPI assigned
Jan 9, 2007
Last updated
Dec 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 4080 MN Primary

Addresses

Primary practice location

2785 White Bear Ave N Ste 107
Maplewood, MN 55109-1320

Mailing address

2454 Ripley Ave
North Saint Paul, MN 55109-4905
Phone (651) 398-0243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000340 MN Practitioner - Chiropractic 8729987318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2785 White Bear Ave N
Suite 107
Maplewood, MN 55109-1320
Phone (651) 398-0243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4080MNMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Chiropractic PLLC CurrentSince Mar 6, 2020 Accepting new patients
Carron L. Perry and Associates, P.a. Past Accepting new patients

Locations

2785 White Bear Ave N
Ste 107
Maplewood, MN 55109
Phone (651) 398-0243

1539 Grand Ave
Saint Paul, MN 55105
Phone (651) 698-3277

550 Snelling Ave S
Ste 104
Saint Paul, MN 55116
Phone (651) 698-1729

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1114076221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 RIPLEY AVE",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551094905",
            "telephone_number": "651-398-0243",
            "fax_number": "651-560-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 107",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320",
            "telephone_number": "651-398-0243",
            "fax_number": "651-560-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CARRON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MN",
            "license": "4080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.