Individual provider Active NPI

Justin Clive Perish, DC

  • Chiropractor
  • Winnsboro, TX
National Provider Identifier
1861493694
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5689 Issued in TX
Practice address
821 S Main St Ste 100
Winnsboro, TX 75494-3648
Phone
(903) 342-5261
Fax
(903) 342-5661
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5689 TX Primary

Addresses

Primary practice location

821 S Main St Ste 100
Winnsboro, TX 75494-3648

Mailing address

303 Pearl St
Winnsboro, TX 75494-2129
Phone (972) 832-1781

Other identifiers 2

IdentifierTypeStateIssuer
603456OtherTXBCBS-TX
0811077-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080201000268 TX Practitioner - Chiropractic 2062439987 Practice locations: Winnsboro, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

821 S Main St
Winnsboro, TX 75494-3629
Phone (903) 342-5261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC5689TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret M Perish PastSince Feb 23, 2020 Accepting new patients
Justin Clive Perish, D C Chiropractor PastSince Oct 28, 1998 Accepting new patients

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1861493694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PEARL ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942129",
            "telephone_number": "972-832-1781",
            "fax_number": "903-342-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST STE 100",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943648",
            "telephone_number": "903-342-5261",
            "fax_number": "903-342-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERISH",
        "first_name": "JUSTIN",
        "middle_name": "CLIVE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TX",
            "identifier": "603456",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0811077-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.