Individual provider Active NPI

Osmany Santigao Periu, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1295851939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6161 Issued in FL
Practice address
399 Camino Gardens Blvd
Suite 104
Boca Raton, FL 33432-5828
Phone
(561) 361-8989
Fax
(561) 361-4401
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6161 FL Primary

Addresses

Primary practice location

399 Camino Gardens Blvd
Suite 104
Boca Raton, FL 33432-5828

Mailing address

399 Camino Gardens Blvd
Suite 104
Boca Raton, FL 33432-5828
Phone (561) 361-8989

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

LicenseStateTypeSpecialty
CH6161FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295851939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 CAMINO GARDENS BLVD",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325828",
            "telephone_number": "561-361-8989",
            "fax_number": "561-361-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 CAMINO GARDENS BLVD",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325828",
            "telephone_number": "561-361-8989",
            "fax_number": "561-361-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIU",
        "first_name": "OSMANY",
        "middle_name": "SANTIGAO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.