Individual provider Active NPI

Carol Ann C Perfilio Pamelia, DC

  • Chiropractor
  • Scranton, PA
National Provider Identifier
1689851545
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001562L Issued in PA
Practice address
1328 Providence Rd
Scranton, PA 18508
Phone
(570) 347-3677
Fax
(570) 347-3677
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001562L PA Primary

Addresses

Primary practice location

1328 Providence Rd
Scranton, PA 18508

Mailing address

1328 Providence Rd
Scranton, PA 18508
Phone (570) 347-3677

Other identifiers 1

IdentifierTypeStateIssuer
98082OtherPROVIDER ID

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

State licenses

LicenseStateTypeSpecialty
DC001562LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1689851545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 PROVIDENCE RD",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18508",
            "telephone_number": "570-347-3677",
            "fax_number": "570-347-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 PROVIDENCE RD",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18508",
            "telephone_number": "570-347-3677",
            "fax_number": "570-347-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERFILIO PAMELIA",
        "first_name": "CAROL ANN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001562L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "98082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.