Active NPI
Luis Omar Luciano Perez, DC
- Chiropractor
- Spartanburg, SC
National Provider Identifier
1861182800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4950
- Practice address
- 851 John B White Sr Blvd
Spartanburg, SC 29306-4037 - Phone
- (864) 707-0055
- NPI assigned
- May 12, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 4950 | PR | Primary |
Addresses
Primary practice location
851 John B White Sr Blvd
Spartanburg, SC 29306-4037
Mailing address
105 Sigmon Dr
Mauldin, SC 29662-1872
Phone (787) 462-9505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
704 E Arlington Blvd
Greenville, NC 27858-5809
Phone (252) 756-6111
851 John B White Sr Blvd
Spartanburg, SC 29306-4037
Phone (864) 707-0055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4950 | PR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Services Spartanburg West, LLC | Chiropractor | Current | Accepting new patients |
| Align Services Spartanburg West, LLC | Chiropractor | Current | Accepting new patients |
Locations
851 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 591-8769
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.
-
- Chiropractor
- Greenville, NC
- NPI 1912220690
-
- Chiropractor
- Spartanburg, SC
- NPI 1134871833
-
- Chiropractor
- Spartanburg, SC
- NPI 1205456571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1861182800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SIGMON DR",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296621872",
"telephone_number": "787-462-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 JOHN B WHITE SR BLVD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293064037",
"telephone_number": "864-707-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIANO PEREZ",
"first_name": "LUIS",
"middle_name": "OMAR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "4950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.