Active NPI
John Matthew Perea, D.C.
- Chiropractor
- Denver, CO
National Provider Identifier
1457405227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5819
- Practice address
- 6265 E Evans Ave
Suite. 7
Denver, CO 80222-5817 - Phone
- (303) 692-8803
- Fax
- (303) 692-8805
- NPI assigned
- Jan 22, 2007
- 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 | 5819 | CO | Primary |
Addresses
Primary practice location
6265 E Evans Ave
Suite. 7
Denver, CO 80222-5817
Mailing address
2210 Carson Ave
La Junta, CO 81050-3223
Phone (303) 842-3972
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5819 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back 2 Life Health Center | 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 and National Provider Directory roles.
-
- Chiropractor
- Denver, CO
- NPI 1841473626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457405227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 CARSON AVE",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810503223",
"telephone_number": "303-842-3972",
"fax_number": "303-692-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6265 E EVANS AVE",
"address_2": "SUITE. 7",
"city": "DENVER",
"state": "CO",
"postal_code": "802225817",
"telephone_number": "303-692-8803",
"fax_number": "303-692-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "JOHN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.