Kirby Kenneth Perrault, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007563 Issued in MI

Practice address

2199 Jolly Rd
Suite # 140
Okemos, MI 48864-3968

Phone

(517) 381-1880

Fax

(517) 381-1990

NPI assigned

Jun 30, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1386641884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 JOLLY RD",
            "address_2": "SUITE # 140",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643968",
            "telephone_number": "517-381-1880",
            "fax_number": "517-381-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 JOLLY RD",
            "address_2": "SUITE # 140",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643968",
            "telephone_number": "517-381-1880",
            "fax_number": "517-381-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRAULT",
        "first_name": "KIRBY",
        "middle_name": "KENNETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2009-07-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "950C350 750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jyotsna Vijay Pendse, PT
• Joan Marie Penfield, LMSW ACSW
• Autumn Pennell
• Rhyan Pensa, PA - C
• Alexandra Perez
• Dennis James Perry, M.D.
• Nicolas Pertusi
• Rachael Peters
• Thomas Petroff, DO
• Pgpa LLC

• Chiropractor in Okemos, MI
• Providers in Okemos, MI by specialty
• Chiropractor in Michigan

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

Verify at the official NPI Registry.