Active NPI
Angelo Peroulakis
- Chiropractor
- Canfield, OH
National Provider Identifier
1215939640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2418
- Practice address
- 6479 S Raccoon Rd
Canfield, OH 44406-9270 - Phone
- (330) 533-6327
- Fax
- (330) 533-0425
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 2418 | OH | Primary |
Addresses
Primary practice location
6479 S Raccoon Rd
Canfield, OH 44406-9270
Mailing address
6479 S Raccoon Rd
Canfield, OH 44406-9270
Phone (330) 533-6327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000370053 | Other | OH | ANTHEM PROVIDER ID |
| 2021270 | Medicaid | OH |
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 |
|---|---|---|---|
| 2418 | OH | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215939640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6479 S RACCOON RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069270",
"telephone_number": "330-533-6327",
"fax_number": "330-533-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6479 S RACCOON RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069270",
"telephone_number": "330-533-6327",
"fax_number": "330-533-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROULAKIS",
"first_name": "ANGELO",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID",
"identifier": "000000370053",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2021270",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.