Individual provider Active NPI

Daniel J Perrino, D.C.

  • Chiropractor
  • Endwell, NY
National Provider Identifier
1629409347
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
70-012454 Issued in NY
Practice address
3401 E Main St
Suite C
Endwell, NY 13760-5978
Phone
(607) 239-5494
Fax
(607) 239-6275
NPI assigned
Dec 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 70-012454 NY Primary

Addresses

Primary practice location

3401 E Main St
Suite C
Endwell, NY 13760-5978

Mailing address

3401 E Main St
Suite C
Endwell, NY 13760-5978
Phone (607) 239-5494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421001667 NY Practitioner - Chiropractic 7214169507 Practice locations: Endwell, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3401 E Main St
Suite C
Endwell, NY 13760-5978
Phone (607) 239-5494

Hospital & facility affiliations

  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70-012454NYMDChiropractor

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1629409347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E MAIN ST",
            "address_2": "SUITE C",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605978",
            "telephone_number": "607-239-5494",
            "fax_number": "607-239-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E MAIN ST",
            "address_2": "SUITE C",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605978",
            "telephone_number": "607-239-5494",
            "fax_number": "607-239-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINO",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-05",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70-012454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endwell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.

Verify at the official NPI Registry.