NPIMap

Individual provider Active NPI

David S Perham Jr., D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1487905642
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4062 Issued in OR
Practice address
8328 N Smith St
Portland, OR 97203-2239
Phone
(503) 545-0869
NPI assigned
Sep 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4062 OR Primary

Addresses

Primary practice location

8328 N Smith St
Portland, OR 97203-2239

Mailing address

8328 N Smith St
Portland, OR 97203-2239
Phone (503) 545-0869

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

LicenseStateTypeSpecialty
4062ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas ENT, LLP PastSince Oct 16, 2023 Accepting new patients
Kwan Yin Naturopathy West, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.perham.1@29632.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1487905642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8328 N SMITH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032239",
            "telephone_number": "503-545-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8328 N SMITH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032239",
            "telephone_number": "503-545-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERHAM",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.