Organization Active NPI

Michael Perras DC, LLC

  • Chiropractor
  • Mashpee, MA
National Provider Identifier
1144469347
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1307 Issued in MA
Legal business name
MICHAEL PERRAS DC, LLC
Practice address
681 Falmouth Rd
Suite B21
Mashpee, MA 02649-3327
Phone
(508) 477-6900
Fax
(508) 477-7900
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Michael Richard Perras, D.C.NPI 1568512218
Title
President
Phone
(508) 477-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1307 MA Primary

Addresses

Primary practice location

681 Falmouth Rd
Suite B21
Mashpee, MA 02649-3327

Mailing address

681 Falmouth Rd
Suite B21
Mashpee, MA 02649-3327
Phone (508) 477-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160616000726 MA Part B Supplier - Clinic/Group Practice 7618268905 Receives reassigned benefits from 1 practitioner
Practice locations: Mashpee, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1144469347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD",
            "address_2": "SUITE B21",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493327",
            "telephone_number": "508-477-6900",
            "fax_number": "508-477-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 FALMOUTH RD",
            "address_2": "SUITE B21",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493327",
            "telephone_number": "508-477-6900",
            "fax_number": "508-477-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PERRAS DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "PERRAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-477-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.