Individual provider Active NPI

James Patrick Perkins, DC

  • Chiropractor
  • Poland, OH
National Provider Identifier
1245586486
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05193 Issued in OH
Practice address
7067 Tiffany Blvd Ste 280
Poland, OH 44514-1803
Phone
(513) 305-8276
NPI assigned
Jul 25, 2012
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10693 FL
Chiropractor 111N00000X DC-05193 OH Primary

Addresses

Primary practice location

7067 Tiffany Blvd Ste 280
Poland, OH 44514-1803

Mailing address

27 Poland MNR
Poland, OH 44514-2010
Phone (513) 305-8276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230414001842 OH Practitioner - Chiropractic 9335395730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7067 Tiffany Blvd
Suite 280
Poland, OH 44514-1803
Phone (513) 305-8276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10693FLMDChiropractor
DC-05193OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Youngstown Spine & Disc, LLC Chiropractor CurrentSince Mar 3, 2023 Accepting new patients
The Medical Group of South Florida, Inc Past Accepting new patients
Complete Wellness Chiropractic Center of Deland LLC Chiropractor PastSince Sep 15, 2010 Accepting new patients

Locations

7067 Tiffany Blvd
Ste 280
Youngstown, OH 44514
Phone (330) 707-4482

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1245586486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 POLAND MNR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142010",
            "telephone_number": "513-305-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD STE 280",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141803",
            "telephone_number": "513-305-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10693",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.