Active NPI
Perry L Chinn, D.C.
- Chiropractor
- Tacoma, WA
National Provider Identifier
1598899643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002182
- Practice address
- 3901 6TH Ave
Tacoma, WA 98406-4940 - Phone
- (253) 756-7500
- Fax
- (253) 756-7501
- NPI assigned
- Mar 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002182 | WA | Primary |
| Radiology Chiropractor | 111NR0200X | CH00002182 | WA |
Addresses
Primary practice location
3901 6TH Ave
Tacoma, WA 98406-4940
Mailing address
3901 6TH Ave
Tacoma, WA 98406-4940
Phone (253) 756-7500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13536 | Other | LABOR & INDUSTRY | |
| CH4243 | Other | REGENCE BCBS | |
| 2032415 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002182 | WA | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simple Medical, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Enumclaw, WA
- NPI 1427346055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1598899643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064940",
"telephone_number": "253-756-7500",
"fax_number": "253-756-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064940",
"telephone_number": "253-756-7500",
"fax_number": "253-756-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINN",
"first_name": "PERRY",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002182",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "WA",
"license": "CH00002182",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "13536",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "CH4243",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2032415",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.