Active NPI
Allan F Perfilio, DC
- Chiropractor
- Clarks Summit, PA
National Provider Identifier
1851458111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003321L
- Practice address
- 614 Morgan Highway
Clarks Summit, PA 18411 - Phone
- (570) 586-7778
- Fax
- (570) 587-4276
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC003321L | PA | Primary |
Addresses
Primary practice location
614 Morgan Highway
Clarks Summit, PA 18411
Mailing address
614 Morgan Highway
Clarks Summit, PA 18411
Phone (570) 586-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011146410002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110527000524 | PA | Practitioner - Chiropractic | 2466639547 | Practice locations: Clarks Summit, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
614 Morgan Hwy
Clarks Summit, PA 18411-9127
Phone (570) 586-7778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC003321L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1851458111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 MORGAN HIGHWAY",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "18411",
"telephone_number": "570-586-7778",
"fax_number": "570-587-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 MORGAN HIGHWAY",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "18411",
"telephone_number": "570-586-7778",
"fax_number": "570-587-4276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERFILIO",
"first_name": "ALLAN",
"middle_name": "F",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003321L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011146410002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.