Active NPI
Ronald Eugene Perry, D.C.
- Chiropractor
- Malad City, ID
National Provider Identifier
1346477668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27-0231581
- Practice address
- 60 N Main St
Malad City, ID 83252-1200 - Phone
- (801) 725-9669
- Fax
- (801) 298-4617
- NPI assigned
- Jun 12, 2009
- Last updated
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 27-0231581 | ID | Primary |
Addresses
Primary practice location
60 N Main St
Malad City, ID 83252-1200
Mailing address
PO Box 69
Malad City, ID 83252-0069
Phone (801) 725-9669
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leading Edge Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Roosevelt, UT
- NPI 1679951263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1346477668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "MALAD CITY",
"state": "ID",
"postal_code": "832520069",
"telephone_number": "801-725-9669",
"fax_number": "801-298-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N MAIN ST",
"city": "MALAD CITY",
"state": "ID",
"postal_code": "832521200",
"telephone_number": "801-725-9669",
"fax_number": "801-298-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "RONALD",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-12",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "27-0231581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malad City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.