Individual provider Active NPI

James Edward Perkins, D.C.

  • Chiropractor
  • West Bloomfield, MI
National Provider Identifier
1215062930
Registry record updated Mar 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004921 Issued in MI
Practice address
6018 W Maple Rd
Suite 888
West Bloomfield, MI 48322-4404
Phone
(248) 855-8707
Fax
(248) 538-3724
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004921 MI Primary

Addresses

Primary practice location

6018 W Maple Rd
Suite 888
West Bloomfield, MI 48322-4404

Mailing address

6018 W Maple Rd
Suite 888
West Bloomfield, MI 48322-4404
Phone (248) 855-8707

Other identifiers 1

IdentifierTypeStateIssuer
950F350100OtherMIBLUE CROSS BLUE SHIELD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301004921MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Chiropractic Center PLLC Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299369600000",
    "number": "1215062930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 W MAPLE RD",
            "address_2": "SUITE 888",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224404",
            "telephone_number": "248-855-8707",
            "fax_number": "248-538-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 W MAPLE RD",
            "address_2": "SUITE 888",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224404",
            "telephone_number": "248-855-8707",
            "fax_number": "248-538-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F350100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.