Organization Active NPI

Perkins Chiropractic Clinic

  • Chiropractor
  • Rensselaer, IN
National Provider Identifier
1932364080
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0800506 Issued in IN
Legal business name
PERKINS CHIROPRACTIC CLINIC
Practice address
1031 N Cullen St
Rensselaer, IN 47978-2007
Phone
(219) 866-4145
NPI assigned
Jul 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Pam Perkins
Title
Secretary
Phone
(219) 866-4145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0800506 IN Primary

Addresses

Primary practice location

1031 N Cullen St
Rensselaer, IN 47978-2007

Mailing address

1031 N Cullen St
P.O. Box 262
Rensselaer, IN 47978-2007
Phone (219) 866-4145

Other identifiers 1

IdentifierTypeStateIssuer
100052990MedicaidIN

National Provider Directory

National Provider Directory

Locations

1031 N Cullen St
Rensselaer, IN 47978
Phone (219) 866-4145

Practitioners & affiliated clinicians

Practitioners 1

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": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1932364080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 N CULLEN ST",
            "address_2": "P.O. BOX 262",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782007",
            "telephone_number": "219-866-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 N CULLEN ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782007",
            "telephone_number": "219-866-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "219-866-4145"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "0800506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.