Individual provider Active NPI

Robert Joseph Perras Jr., DC

  • Chiropractor
  • Tyngsboro, MA
National Provider Identifier
1316097025
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1985 Issued in MA
Practice address
404 Middlesex Rd
#3
Tyngsboro, MA 01879-1067
Phone
(978) 649-5777
Fax
(978) 649-5777
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1985 MA Primary

Addresses

Primary practice location

404 Middlesex Rd
#3
Tyngsboro, MA 01879-1067

Mailing address

404 Middlesex Rd
#3
Tyngsboro, MA 01879-1067
Phone (978) 649-5777

Other identifiers 1

IdentifierTypeStateIssuer
1697196MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000326 MA Practitioner - Chiropractic 2365452000 Practice locations: Tyngsboro, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

404 Middlesex Rd
Tyngsboro, MA 01879-1067

404 Middlesex Rd No
Suite 3
Tyngsboro, MA 01879-1067
Phone (978) 649-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1985MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Perras Chiropractic Center, PLLC Chiropractor PastSince Feb 15, 2010 Accepting new patients
McLain Chiropractic Center, PLLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1316097025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MIDDLESEX RD",
            "address_2": "#3",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791067",
            "telephone_number": "978-649-5777",
            "fax_number": "978-649-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MIDDLESEX RD",
            "address_2": "#3",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791067",
            "telephone_number": "978-649-5777",
            "fax_number": "978-649-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRAS",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697196",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.