Organization Active NPI

Leroy R Perry Jr DC a Chiropractic Corporation

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1508987595
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEROY R PERRY JR DC A CHIROPRACTIC CORPORATION
Practice address
3283 Motor Ave
Los Angeles, CA 90034-3709
Phone
(310) 559-6900
Fax
(310) 836-8664
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Dr. Leroy R Perry Jr., D.C.NPI 1215050901
Title
President
Phone
(310) 559-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CA Primary

Addresses

Primary practice location

3283 Motor Ave
Los Angeles, CA 90034-3709

Mailing address

3283 Motor Ave
Los Angeles, CA 90034-3709
Phone (310) 559-6900

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ91851ZOtherCABC BS NUMBER

Other names 1

  • I.S.I. Other name

National Provider Directory

National Provider Directory

Locations

1213 N Lake Ave
#1
Pasadena, CA 91104
Phone (818) 797-6441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1508987595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343709",
            "telephone_number": "310-559-6900",
            "fax_number": "310-836-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343709",
            "telephone_number": "310-559-6900",
            "fax_number": "310-836-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEROY R PERRY JR DC A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-559-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NUMBER",
            "identifier": "ZZZ91851Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I.S.I.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.