Active NPI
Joseph Fred Perin Sr., D.C.
- Thermography Chiropractor
- Vancouver, WA
National Provider Identifier
1659672012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thermography Chiropractor
- License
- 621310
- Practice address
- 6405 NE 116TH Ave.
Suite #106
Vancouver, WA 98662 - Phone
- (360) 597-4784
- Fax
- (360) 597-4214
- NPI assigned
- Nov 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Thermography Chiropractor | 111NT0100X | 621310 | WA | Primary |
Addresses
Primary practice location
6405 NE 116TH Ave.
Suite #106
Vancouver, WA 98662
Mailing address
6405 NE 116TH Ave.
Suite #106
Vancouver, WA 98662
Phone (360) 597-4784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6405 NE 116TH Ave
Suite 106
Vancouver, WA 98662-2402
Phone (360) 597-4784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621310 | WA | MD | Thermography Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Living Chiropractic PLLC | Current | Accepting new patients |
Locations
6405 NE 116th Ave
Ste 106
Vancouver, WA 98662
Phone (360) 597-4784
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.
-
- Chiropractor
- Vancouver, WA
- NPI 1104308311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1659672012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 NE 116TH AVE.",
"address_2": "SUITE #106",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-597-4784",
"fax_number": "360-597-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 NE 116TH AVE.",
"address_2": "SUITE #106",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-597-4784",
"fax_number": "360-597-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIN",
"first_name": "JOSEPH",
"middle_name": "FRED",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NT0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Thermography",
"state": "WA",
"license": "621310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.