Individual provider Active NPI

Susan Nathanson Perkins, D.C.

  • Chiropractor
  • Vero Beach, FL
National Provider Identifier
1699800532
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003727 Issued in FL
Practice address
780 US Highway 1
Suite 201
Vero Beach, FL 32962-1660
Phone
(772) 567-7777
Fax
(772) 778-9382
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003727 FL Primary

Addresses

Primary practice location

780 US Highway 1
Suite 201
Vero Beach, FL 32962-1660

Mailing address

780 US Highway 1
Suite 201
Vero Beach, FL 32962-1660
Phone (772) 567-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000540 FL Practitioner - Chiropractic 5991753071 Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003727FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan M Wells DC PLLC Chiropractor CurrentSince Nov 13, 2017 Accepting new patients
Spinal Decompression Center of the Palm Beaches, LLP Chiropractor Past Accepting new patients
Spinal Decompression Center LLC Chiropractor Past Accepting new patients

Locations

780 US Highway 1
Unit 201
Vero Beach, FL 32962
Phone (772) 567-7777

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1699800532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 US HIGHWAY 1",
            "address_2": "SUITE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621660",
            "telephone_number": "772-567-7777",
            "fax_number": "772-778-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 US HIGHWAY 1",
            "address_2": "SUITE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621660",
            "telephone_number": "772-567-7777",
            "fax_number": "772-778-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "SUSAN",
        "middle_name": "NATHANSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.