Active NPI
Robert F Peretti, D.C.
- Chiropractor
- Irving, TX
National Provider Identifier
1578501557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8911
- Practice address
- 330 Las Colinas Blvd E
Suite 422
Irving, TX 75039-5510 - Phone
- (972) 249-6087
- Fax
- (972) 409-2988
- NPI assigned
- Jun 3, 2006
- 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 | 8911 | TX | Primary |
Addresses
Primary practice location
330 Las Colinas Blvd E
Suite 422
Irving, TX 75039-5510
Mailing address
P.O Box 141521
Irving, TX 75014-1521
Phone (972) 249-6087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8W1170 | Other | TX | BLUE CROSS BLUE SHIELD |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8911 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Nexus Diagnostics LLC | Past | Accepting new patients | |
| Nexus Medical Diagnostics L.L.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Electroneurodiagnostic Specialist/Technologist
- Fort Worth, TX
- NPI 1083019095
-
- Chiropractor
- Irving, TX
- NPI 1003835687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1578501557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 141521",
"city": "IRVING",
"state": "TX",
"postal_code": "750141521",
"telephone_number": "972-249-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 LAS COLINAS BLVD E",
"address_2": "SUITE 422",
"city": "IRVING",
"state": "TX",
"postal_code": "750395510",
"telephone_number": "972-249-6087",
"fax_number": "972-409-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERETTI",
"first_name": "ROBERT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8W1170",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.