James Edward Perkins Jr., DC
Individual provider Active NPI Chiropractor · Homedale, ID
NPI 1831188754 · NPPES record last updated Jan 15, 2008
Key facts
- NPI
- 1831188754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA-562 (ID)
- Practice address
- 111 S Main St
Homedale, ID 83628-3421 - Phone
- (208) 337-4900
- Fax
- (208) 337-3736
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 335
Homedale, ID 83628
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080109000809 | ID | Practitioner - Chiropractic | 8921188418 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-562 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perkins & Associates PA | Chiropractor | Current |
Accepting new patients |
Locations
111 S Main St
Homedale, ID 83628
Phone (208) 337-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-562 | ID | Yes |
Addresses
Primary practice location
111 S Main St
Homedale, ID 83628-3421
Mailing address
PO Box 335
111 S Main
Homedale, ID 83628-0335
Phone (208) 337-4900
Other providers in Homedale, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.