Active NPI
Dorothy Ann Peery
- Chore Provider
- Fulton, MO
National Provider Identifier
1235457276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 5515 County Road 420
Fulton, MO 65251-6773 - Phone
- (573) 355-1489
- NPI assigned
- May 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | S036235006 | MO | |
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
5515 County Road 420
Fulton, MO 65251-6773
Mailing address
5515 County Road 420
Fulton, MO 65251-6773
Phone (573) 355-1489
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S036235006 | MO | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273881600000",
"number": "1235457276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 COUNTY ROAD 420",
"city": "FULTON",
"state": "MO",
"postal_code": "652516773",
"telephone_number": "573-355-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 COUNTY ROAD 420",
"city": "FULTON",
"state": "MO",
"postal_code": "652516773",
"telephone_number": "573-355-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEERY",
"first_name": "DOROTHY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-15",
"last_updated": "2010-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MO",
"license": "S036235006",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.