Organization Active NPI

Clayton R Perry, MD PC

  • Orthopaedic Surgery Physician
  • Fenton, MO
National Provider Identifier
1891766754
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R3C54 Issued in MO
Legal business name
CLAYTON R PERRY, MD PC
Practice address
1011 Bowles Ave
Suite 400
Fenton, MO 63026-2387
Phone
(314) 821-4884
NPI assigned
Jan 30, 2006
Last updated
Nov 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Clayton Perry, MDNPI 1518938463
Title
Owner
Phone
(314) 768-3216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X R3C54 MO Primary

Addresses

Primary practice location

1011 Bowles Ave
Suite 400
Fenton, MO 63026-2387

Mailing address

4248 Reliable Parkway
Chicago, IL 60638
Phone (314) 872-1361

National Provider Directory

National Provider Directory

Locations

4248 Reliable Pkwy
Chicago, IL 60686

1011 Bowles Ave
Ste 400
Fenton, MO 63026
Phone (314) 821-4884

1055 Bowles Ave
Ste 100
Fenton, MO 63026
Phone (314) 257-3390

520 S Elm Ave
Webster Grvs, MO 63119
Phone (314) 645-4434

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1891766754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60638",
            "telephone_number": "314-872-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE 400",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262387",
            "telephone_number": "314-821-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON R PERRY, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-768-3216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R3C54",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.