Active NPI
Bobby O Perea, DC
- Chiropractor
- Santa Fe, NM
National Provider Identifier
1417021965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1480
- Practice address
- 444 Saint Michaels Dr
Suite B
Santa Fe, NM 87505-7620 - Phone
- (505) 982-6886
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1480 | NM | Primary |
Addresses
Primary practice location
444 Saint Michaels Dr
Suite B
Santa Fe, NM 87505-7620
Mailing address
444 Saint Michaels Dr
Suite B
Santa Fe, NM 87505-7620
Phone (505) 982-6886
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1417021965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 SAINT MICHAELS DR",
"address_2": "SUITE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057620",
"telephone_number": "505-982-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 SAINT MICHAELS DR",
"address_2": "SUITE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057620",
"telephone_number": "505-982-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "BOBBY",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.