Active NPI
Perron Medical Center, LLC
Doing business as Advanced Back & Neck Care
- Family Medicine Physician
- Chandler, AZ
National Provider Identifier
1689224057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PERRON MEDICAL CENTER, LLC
- Doing business as
- Advanced Back & Neck Care
- Practice address
- 1055 W Queen Creek Rd Ste 3
Chandler, AZ 85248-8134 - Phone
- (480) 814-7792
- NPI assigned
- Sep 17, 2019
- Last updated
- Nov 5, 2019
- 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. Marcus Ryan Perron, DC
- Title
- Managing Member
- Phone
- (480) 688-2246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1055 W Queen Creek Rd Ste 3
Chandler, AZ 85248-8134
Mailing address
1055 W Queen Creek Rd Ste 3
Chandler, AZ 85248-8134
Phone (480) 814-7792
Other names 1
- Advanced Back & Neck Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572912000000",
"number": "1689224057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 W QUEEN CREEK RD STE 3",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852488134",
"telephone_number": "480-814-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 W QUEEN CREEK RD STE 3",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852488134",
"telephone_number": "480-814-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRON MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2019-11-05",
"status": "A",
"authorized_official_last_name": "PERRON",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "480-688-2246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Back & Neck Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Back & Neck Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.