Active NPI
Mark Odilon Perez, DC
- Chiropractor
- Greenwood Village, CO
National Provider Identifier
1447896873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007961
- Practice address
- 5191 S Yosemite St Ste a
Greenwood Village, CO 80111-3360 - Phone
- (303) 771-3102
- NPI assigned
- Nov 20, 2019
- 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 | CHR.0007961 | CO | Primary |
Addresses
Primary practice location
5191 S Yosemite St Ste a
Greenwood Village, CO 80111-3360
Mailing address
7344 Vance St
Arvada, CO 80003-3035
Phone (303) 419-1596
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0007961 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1447896873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7344 VANCE ST",
"city": "ARVADA",
"state": "CO",
"postal_code": "800033035",
"telephone_number": "303-419-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5191 S YOSEMITE ST STE A",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801113360",
"telephone_number": "303-771-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARK",
"middle_name": "ODILON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0007961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.