Dpmperillonrva LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103301030 Issued in VA

Legal business name

DPMPERILLONRVA LLC

Practice address

347 Land Or Dr
Ruther Glen, VA 22546-1235

Phone

(919) 801-0792

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

David J Perillo, DPMNPI 1396063855

Title

Owner

Phone

(919) 801-0792

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Joseph Perillo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ruther Glen, VA
  • NPI 1396063855
  NPD (past) Authorized official

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1821319567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 LAND OR DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225461235",
            "telephone_number": "919-801-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 LAND OR DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225461235",
            "telephone_number": "919-801-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMPERILLONRVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "PERILLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-801-0792",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Dabney
• Chris Davis
• Joyce Delneky, M.D.
• Christine Marie Desiderati, LPC
• Eric Kofi Donkor
• Alaa Elkhatib, DDS
• Evelyn J Rogers
• Cecilia Ntobo Faison Ngwa
• Faith and Grace Home Health Care LLC
• Sheryl Finucane, P.T.

• Foot & Ankle Surgery Podiatrist in Ruther Glen, VA
• Providers in Ruther Glen, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.