Individual provider Active NPI

William T Perks IV, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1700913563
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4483 Issued in KY
Practice address
2107 Weber Ave
Louisville, KY 40205-2110
Phone
(502) 454-4441
Fax
(502) 454-3999
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 4483 KY Primary

Addresses

Primary practice location

2107 Weber Ave
Louisville, KY 40205-2110

Mailing address

2107 Weber Ave
Louisville, KY 40205-2110
Phone (502) 454-4441

Other identifiers 2

IdentifierTypeStateIssuer
1161828MedicaidKY
85001741MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000005 KY Practitioner - Chiropractic 9739071663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2107 Weber Ave
Louisville, KY 40205-2110
Phone (502) 454-4441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4483KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Solutions PLLC Chiropractor CurrentSince Nov 1, 2014 Accepting new patients
Eriksen Chiropractic of Radcliff PLLC Chiropractor PastSince Feb 23, 2010 Accepting new patients

Locations

2107 Weber Ave
Louisville, KY 40205
Phone (502) 454-4441

Organizations & group practices 2

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1700913563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 WEBER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052110",
            "telephone_number": "502-454-4441",
            "fax_number": "502-454-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 WEBER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052110",
            "telephone_number": "502-454-4441",
            "fax_number": "502-454-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKS",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1161828",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001741",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.