John Wayne Perry

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1215274964 Issued in NM

Practice address

1320 S Solano Dr
Las Cruces, NM 88001-3758

Phone

(575) 437-7404

Fax

(575) 439-2860

NPI assigned

Jan 14, 2013

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1215274964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S. SOLANO",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001",
            "telephone_number": "575-527-7900",
            "fax_number": "575-571-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013758",
            "telephone_number": "575-437-7404",
            "fax_number": "575-439-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": "1215274964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18677037",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebeca Perez
• Samantha Kristian Perez, OT
• Sasha Perez
• Tacy Rene Perkins, LPCC LADAC
• Trevor Perkins, DDS
• Michael Perry, PHARM. D.
• Personal Touch Home Care LLC
• Perview Inc
• Mary P Peschka, OTR
• Mathew C Petersen, DDS

• Case Manager/Care Coordinator in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.