Active NPI
Christopher M Perry DO PC
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R4N70
- Legal business name
- CHRISTOPHER M PERRY DO PC
- Practice address
- 11155 Dunn Rd
Suite 102North
Saint Louis, MO 63136-6150 - Phone
- (314) 749-2696
- Fax
- (314) 355-4707
- NPI assigned
- Jan 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Michael Perry, DO
- Title
- President
- Phone
- (314) 749-2696
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R4N70 | MO | Primary |
Addresses
Primary practice location
11155 Dunn Rd
Suite 102North
Saint Louis, MO 63136-6150
Mailing address
11155 Dunn Rd
Suite 102North
Saint Louis, MO 63136-6150
Phone (314) 749-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243073509 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0856394 | Christopher M Perry DO PC | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
11155 Dunn Rd
Ste 102N
Saint Louis, MO 63136
Phone (314) 355-0310
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- St Louis, MO
- NPI 1164534434
-
- Family Medicine Physician
- Cedar Hill, MO
- NPI 1356902043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681603200000",
"number": "1548508955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11155 DUNN RD",
"address_2": "SUITE 102NORTH",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366150",
"telephone_number": "314-749-2696",
"fax_number": "314-355-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 DUNN RD",
"address_2": "SUITE 102NORTH",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366150",
"telephone_number": "314-749-2696",
"fax_number": "314-355-4707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER M PERRY DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-18",
"last_updated": "2023-04-16",
"certification_date": "2023-04-16",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-749-2696",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "R4N70",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243073509",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.