Individual provider Active NPI

David Kendall Perry, DC

  • Chiropractor
  • Johnson City, TN
National Provider Identifier
1194710715
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
206 Princeton Rd
Ste 14
Johnson City, TN 37601-2058
Phone
(423) 283-4905
Fax
(423) 283-4200
NPI assigned
Sep 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TN Primary

Addresses

Primary practice location

206 Princeton Rd
Ste 14
Johnson City, TN 37601-2058

Mailing address

206 Princeton Rd
Ste 14
Johnson City, TN 37601-2058
Phone (423) 283-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000360 TN Practitioner - Chiropractic 4183882954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 Princeton Rd
Suite 14
Johnson City, TN 37601-2025
Phone (423) 283-4905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC000000399TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Associates, PC CurrentSince Aug 31, 1988 Accepting new patients

Locations

206 Princeton Rd
Ste 14
Johnson City, TN 37601
Phone (423) 283-4055

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194710715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PRINCETON RD",
            "address_2": "STE 14",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012058",
            "telephone_number": "423-283-4200",
            "fax_number": "423-283-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PRINCETON RD",
            "address_2": "STE 14",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012058",
            "telephone_number": "423-283-4905",
            "fax_number": "423-283-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DAVID",
        "middle_name": "KENDALL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.