Active NPI
Julianne Peretz, DC
- Chiropractor
- Englewood, FL
National Provider Identifier
1215935689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 000 5896
- Practice address
- 31 W Green St
Englewood, FL 34223-3211 - Phone
- (941) 475-9500
- Fax
- (941) 475-9406
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 000 5896 | FL | Primary |
Addresses
Primary practice location
31 W Green St
Englewood, FL 34223-3211
Mailing address
31 W Green St
Englewood, FL 34223-3211
Phone (941) 475-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350036042 | Other | FL | RR MEDICARE |
| 380 802 500 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH 000 5896 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1215935689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 W GREEN ST",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233211",
"telephone_number": "941-475-9500",
"fax_number": "941-475-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 W GREEN ST",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233211",
"telephone_number": "941-475-9500",
"fax_number": "941-475-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERETZ",
"first_name": "JULIANNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 000 5896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350036042",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380 802 500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.