Permen Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001920 Issued in WA

Legal business name

PERMEN CHIROPRACTIC PLLC

Practice address

260 Bay Lyn Dr
Lynden, WA 98264-9464

Phone

(360) 354-6800

Fax

(360) 937-1399

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Permen, D.C.NPI 1003917329

Title

Member

Phone

(360) 354-6800

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• John Bruce Permen, D.C.

  • Chiropractor
  • Lynden, WA
  • NPI 1003917329
  Medicare reassignment Authorized official
• Joyce Elizabeth Permen, D.C.

  • Chiropractor
  • Lynden, WA
  • NPI 1942372404
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1548485105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BAY LYN DR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649464",
            "telephone_number": "360-354-6800",
            "fax_number": "360-937-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BAY LYN DR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649464",
            "telephone_number": "360-354-6800",
            "fax_number": "360-937-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMEN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "PERMEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-354-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "001920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "668920",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "653559",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "0189056",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "6020",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean-Luc Padley, MAMFT
• Renee Lyn Parson, L.M.P.
• Derek T Pawlak, LD
• Lydia Peckover
• Jeannett M. Penner, M.P.T.
• John Bruce Permen, D.C.
• Joyce Elizabeth Permen, D.C.
• Vera Pluschakov
• Premere Rehab LLC
• Premere Rehab LLC

• Chiropractor in Lynden, WA
• Providers in Lynden, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.